Paul Warren Macellari in Mishawaka - Clinical Neuropsychologist
Paul Warren Macellari - NPI 1871660035
Paul Warren Macellari is a Clinical Neuropsychologist in Mishawaka, Indiana. Paul Warren Macellari practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Paul Warren Macellari is 1871660035. The last update date is 2018-10-16.
Paul Warren Macellari's current location address is 135 Red Coach Dr, Mishawaka, Indiana. You can contact this provider via phone number 5742549200 and fax number 5742549202. The mailing address for Paul Warren Macellari is 135 Red Coach Dr, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Warren Macellari |
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Address | 135 Red Coach Dr, Mishawaka, Indiana |
Phone Number | 5742549200 |
Fax Number | 5742549202 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1871660035 |
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Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2018-10-16 |
Provider Mailing Address Detail
Address | 135 Red Coach Dr |
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City | Mishawaka |
State | Indiana (IN) |
Post Code | 465453145 |
Phone Number | 5742549200 |
Fax Number | 5742549202 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | 20040273A |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
221550 | IN | BLUE CROSS BLUE SHIELD | |
200001180A | IN | -- |
Post Comment/ Review Below
What is the Paul Warren Macellari's 1871660035?
The Paul Warren Macellari's NPI (National Provider Identifier) Number is 1871660035. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Paul Warren Macellari is physically located?
The Paul Warren Macellari is physically situated at the following address: 135 Red Coach Dr, Mishawaka, IN, 465453145.
What is Paul Warren Macellari's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paul Warren Macellari is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
When did the Paul Warren Macellari receive its 1871660035?
The Paul Warren Macellari was issued its 1871660035 on 2006-11-30, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Paul Warren Macellari most recently updated or revised?
The details related to Paul Warren Macellari, including its address, specialty, and other relevant information, were last updated or revised on 2018-10-16.
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