Wanda A. Crockett Pllc in Chesterfield - Professional
Wanda A. Crockett Pllc - NPI 1477675064
Wanda A. Crockett Pllc is a Professional in Chesterfield, Virginia. Wanda A. Crockett Pllc practices all healthcare services and medical treatments related to Professional. The NPI Number for Wanda A. Crockett Pllc is 1477675064. The last update date is 2008-11-18.
Wanda A. Crockett Pllc's current location address is 9500 Gadwell Ter, Chesterfield, Virginia. You can contact this provider via phone number 8047484774. The mailing address for Wanda A. Crockett Pllc is 9500 Gadwell Ter, Chesterfield, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wanda A. Crockett Pllc |
|---|---|
| Address | 9500 Gadwell Ter, Chesterfield, Virginia |
| Phone Number | 8047484774 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Crockett A. Wanda |
| Credentials | L.P.C. |
| Telephone Number | 8047484774 |
NPI Number Detail
| NPI Number | 1477675064 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2008-11-18 |
Provider Mailing Address Detail
| Address | 9500 Gadwell Ter |
|---|---|
| City | Chesterfield |
| State | Virginia (VA) |
| Post Code | 238385215 |
| Phone Number | 8047484774 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identification code issued to Wanda A. Crockett Pllc by the Centers for Medicare & Medicaid Services?
The Wanda A. Crockett Pllc has been assigned the NPI (National Provider Identifier) 1477675064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Wanda A. Crockett Pllc?
The Wanda A. Crockett Pllc is situated at 9500 Gadwell Ter, in the city of Chesterfield, state of VA, with the zip code 238385215.
What is Wanda A. Crockett Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wanda A. Crockett Pllc is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477675064 to Wanda A. Crockett Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1477675064 to Wanda A. Crockett Pllc on 2007-04-04.
As of what date were the details related to Wanda A. Crockett Pllc most recently updated or revised?
The information pertaining to Wanda A. Crockett Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2008-11-18.