Michael Lee Seretny in West Lafayette - Clinical Neuropsychologist
Michael Lee Seretny - NPI 1235139049
Michael Lee Seretny is a Clinical Neuropsychologist in West Lafayette, Indiana. Michael Lee Seretny practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Michael Lee Seretny is 1235139049. The last update date is 2009-02-21.
Michael Lee Seretny's current location address is 1203 Trace 12, West Lafayette, Indiana. You can contact this provider via phone number 7654304049. The mailing address for Michael Lee Seretny is 1203 Trace 12, West Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Lee Seretny |
|---|---|
| Address | 1203 Trace 12, West Lafayette, Indiana |
| Phone Number | 7654304049 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD, HSPP |
NPI Number Detail
| NPI Number | 1235139049 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2009-02-21 |
Provider Mailing Address Detail
| Address | 1203 Trace 12 |
|---|---|
| City | West Lafayette |
| State | Indiana (IN) |
| Post Code | 479061878 |
| Phone Number | 7654304049 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 20040537A |
|
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 |
|---|---|---|---|
| 20040537A | IN | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Lee Seretny by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Lee Seretny has been assigned the NPI (National Provider Identifier) 1235139049. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Michael Lee Seretny?
The Michael Lee Seretny is situated at 1203 Trace 12, in the city of West Lafayette, state of IN, with the zip code 479061878.
What is Michael Lee Seretny's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Lee Seretny's area of specialization is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this field of practice is 103G00000X.
On what date did the Michael Lee Seretny receive its 1235139049 assignment from the Centers for Medicare & Medicaid Services?
The Michael Lee Seretny was assigned its 1235139049 by the Centers for Medicare & Medicaid Services on 2005-07-22.
When was the information regarding Michael Lee Seretny, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Lee Seretny, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-21.