Kathleen M Otoole in Atlanta - Clinical Neuropsychologist
Kathleen M Otoole - NPI 1114967759
Kathleen M Otoole is a Clinical Neuropsychologist in Atlanta, Georgia. Kathleen M Otoole practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Kathleen M Otoole is 1114967759. The last update date is 2007-07-08.
Kathleen M Otoole's current location address is 1001 Johnson Ferry Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4047852854 and fax number 4047852851. The mailing address for Kathleen M Otoole is 1001 Johnson Ferry Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen M Otoole |
|---|---|
| Address | 1001 Johnson Ferry Rd Ne, Atlanta, Georgia |
| Phone Number | 4047852854 |
| Fax Number | 4047852851 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1114967759 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1001 Johnson Ferry Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 30342 |
| Phone Number | 4047852854 |
| Fax Number | 4047852851 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 1931 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00706329A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kathleen M Otoole by the Centers for Medicare & Medicaid Services?
The Kathleen M Otoole has been assigned the NPI (National Provider Identifier) 1114967759 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kathleen M Otoole is geographically located?
The Kathleen M Otoole is physically situated at the following location: 1001 Johnson Ferry Rd Ne, Atlanta, GA, 30342.
What is the area of specialization for Kathleen M Otoole, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kathleen M Otoole is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.
When did the Kathleen M Otoole receive its 1114967759?
The Kathleen M Otoole was issued its 1114967759 on 2006-06-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kathleen M Otoole most recently updated or revised?
The information pertaining to Kathleen M Otoole, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.