Paul Joseph Mancillas in West Covina - Clinical Neuropsychologist
Paul Joseph Mancillas - NPI 1689769622
Paul Joseph Mancillas is a Clinical Neuropsychologist in West Covina, California. Paul Joseph Mancillas practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Paul Joseph Mancillas is 1689769622. The last update date is 2007-07-08.
Paul Joseph Mancillas's current location address is 330 S. La Serena Dr., West Covina, California. You can contact this provider via phone number 6263391158 and fax number 6263318551. The mailing address for Paul Joseph Mancillas is 330 S. La Serena Dr., West Covina, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Joseph Mancillas |
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Address | 330 S. La Serena Dr., West Covina, California |
Phone Number | 6263391158 |
Fax Number | 6263318551 |
Sole Proprietor | Y |
Credentials | PHD |
NPI Number Detail
NPI Number | 1689769622 |
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Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 330 S. La Serena Dr. |
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City | West Covina |
State | California (CA) |
Post Code | 91791 |
Phone Number | 6263391158 |
Fax Number | 6263318551 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | PSY10364 |
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique identifier code issued to Paul Joseph Mancillas by the Centers for Medicare & Medicaid Services (CMS)?
The Paul Joseph Mancillas has been assigned the NPI (National Provider Identifier) 1689769622. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Paul Joseph Mancillas's facilities are geographically located?
The facilities of Paul Joseph Mancillas are physically situated at the following location: 330 S. La Serena Dr., West Covina, CA, 91791.
What is Paul Joseph Mancillas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Joseph Mancillas's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
On what date did the Paul Joseph Mancillas receive its 1689769622 assignment from the Centers for Medicare & Medicaid Services?
The Paul Joseph Mancillas was assigned its 1689769622 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details pertaining to Paul Joseph Mancillas last refreshed?
The information related to the Paul Joseph Mancillas, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY