Wylene Medearis is a Counselor in Palmdale, California. Wylene Medearis practices all healthcare services and medical treatments related to Counselor. The NPI Number for Wylene Medearis is 1356558183. The last update date is 2007-07-08.
Wylene Medearis's current location address is 1607 E Palmdale Blvd, Palmdale, California. You can contact this provider via phone number 6612235590 and fax number 6615389057. The mailing address for Wylene Medearis is 1607 E Palmdale Blvd, Palmdale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wylene Medearis |
|---|---|
| Address | 1607 E Palmdale Blvd, Palmdale, California |
| Phone Number | 6612235590 |
| Fax Number | 6615389057 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356558183 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1607 E Palmdale Blvd |
|---|---|
| City | Palmdale |
| State | California (CA) |
| Post Code | 935504883 |
| Phone Number | 6612235590 |
| Fax Number | 6615389057 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 190485AP |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identifier code assigned to Wylene Medearis by the Centers for Medicare & Medicaid Services?
The Wylene Medearis has been issued the NPI (National Provider Identifier) 1356558183 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Wylene Medearis located?
The Wylene Medearis is located at 1607 E Palmdale Blvd, Palmdale, CA 935504883.
What is the area of specialization for Wylene Medearis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wylene Medearis is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Wylene Medearis receive the assignment of its 1356558183 from the Centers for Medicare & Medicaid Services?
The Wylene Medearis was issued its 1356558183 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date was the information pertaining to Wylene Medearis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wylene Medearis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.