Marc A Quillen in Lawrence - Clinical Neuropsychologist

Marc A Quillen - NPI 1427053784

Marc A Quillen is a Clinical Neuropsychologist in Lawrence, Kansas. Marc A Quillen practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Marc A Quillen is 1427053784. The last update date is 2009-03-23.

Marc A Quillen's current location address is 4217 Briarwood Dr, Lawrence, Kansas. You can contact this provider via phone number 7858560684. The mailing address for Marc A Quillen is 4217 Briarwood Dr, Lawrence, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Marc A Quillen
Address 4217 Briarwood Dr, Lawrence, Kansas
Phone Number 7858560684
Fax Number
Sole Proprietor Y
Credentials PH.D

NPI Number Detail

NPI Number 1427053784
Provider Enumeration Date 2005-06-14
Last Updated Date 2009-03-23

Provider Mailing Address Detail

Address 4217 Briarwood Dr
City Lawrence
State Kansas (KS)
Post Code 6604919980
Phone Number 7858560684
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 521
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
100230310B KS --

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FAQs about Marc A Quillen

What is the unique 10-digit identifier code assigned to Marc A Quillen by the Centers for Medicare & Medicaid Services?

The Marc A Quillen has been issued the NPI (National Provider Identifier) 1427053784 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Marc A Quillen is physically located?

The Marc A Quillen is physically situated at the following address: 4217 Briarwood Dr, Lawrence, KS, 6604919980.

What is Marc A Quillen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Marc A Quillen is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date did the Marc A Quillen receive the assignment of its 1427053784 from the Centers for Medicare & Medicaid Services?

The Marc A Quillen was issued its 1427053784 by the Centers for Medicare & Medicaid Services on 2005-06-14.

As of what date were the Marc A Quillen's details last updated?

The information pertaining to the Marc A Quillen, including its address, specialty, and other details, was most recently updated on 2009-03-23.

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