Susan Christine Valessares in St Charles - Clinical Neuropsychologist
Susan Christine Valessares - NPI 1114040227
Susan Christine Valessares is a Clinical Neuropsychologist in St Charles, Illinois. Susan Christine Valessares practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Susan Christine Valessares is 1114040227. The last update date is 2008-07-15.
Susan Christine Valessares's current location address is 3 Squire Ln, St Charles, Illinois. You can contact this provider via phone number 6308817601 and fax number 6305136839. The mailing address for Susan Christine Valessares is 3 Squire Ln, St Charles, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Christine Valessares |
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Address | 3 Squire Ln, St Charles, Illinois |
Phone Number | 6308817601 |
Fax Number | 6305136839 |
Sole Proprietor | N |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1114040227 |
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Provider Enumeration Date | 2007-04-06 |
Last Updated Date | 2008-07-15 |
Provider Mailing Address Detail
Address | 3 Squire Ln |
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City | St Charles |
State | Illinois (IL) |
Post Code | 601741413 |
Phone Number | 6308817601 |
Fax Number | 6305136839 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | 071-006810 |
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 10-digit identification code assigned to Susan Christine Valessares by the Centers for Medicare & Medicaid Services?
The Susan Christine Valessares has been issued the NPI (National Provider Identifier) 1114040227, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Susan Christine Valessares is physically located?
The Susan Christine Valessares is situated at the following address: 3 Squire Ln, St Charles, IL 601741413.
What is the Susan Christine Valessares's area of specialization and corresponding taxonomy classification?
The Susan Christine Valessares's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1114040227 assigned to Susan Christine Valessares?
The Susan Christine Valessares was issued its 1114040227 on 2007-04-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Susan Christine Valessares most recently updated or revised?
The information pertaining to Susan Christine Valessares, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-15.
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