Maitland Psychology Pa in Maitland - Clinical Neuropsychologist
Maitland Psychology Pa - NPI 1871775445
Maitland Psychology Pa is a Clinical Neuropsychologist in Maitland, Florida. Maitland Psychology Pa practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Maitland Psychology Pa is 1871775445. The last update date is 2010-09-10.
Maitland Psychology Pa's current location address is Po Box 947617, Maitland, Florida. You can contact this provider via phone number 4076285354 and fax number 4076280254. The mailing address for Maitland Psychology Pa is Po Box 947617, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maitland Psychology Pa |
|---|---|
| Address | Po Box 947617, Maitland, Florida |
| Phone Number | 4076285354 |
| Fax Number | 4076280254 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Leli Anthony Dano |
| Credentials | PHD |
| Telephone Number | 4076285354 |
NPI Number Detail
| NPI Number | 1871775445 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2010-09-10 |
Provider Mailing Address Detail
| Address | Po Box 947617 |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327947617 |
| Phone Number | 4076285354 |
| Fax Number | 4076280254 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PY3919 |
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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 Maitland Psychology Pa by the Centers for Medicare & Medicaid Services?
The Maitland Psychology Pa has been assigned the NPI (National Provider Identifier) 1871775445. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Maitland Psychology Pa is physically located?
The Maitland Psychology Pa is physically situated at the following address: Po Box 947617, Maitland, FL, 327947617.
What is Maitland Psychology Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Maitland Psychology Pa's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
When was the Maitland Psychology Pa's 1871775445 issued?
The Maitland Psychology Pa's 1871775445 was issued on 2007-12-05.
When was the information related to Maitland Psychology Pa most recently updated or refreshed?
The details pertaining to the Maitland Psychology Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-10.