Ericka Lisle Wodka in Baltimore - Clinical Neuropsychologist
Ericka Lisle Wodka - NPI 1033256342
Ericka Lisle Wodka is a Clinical Neuropsychologist in Baltimore, Maryland. Ericka Lisle Wodka practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Ericka Lisle Wodka is 1033256342. The last update date is 2008-09-08.
Ericka Lisle Wodka's current location address is 3901 Greenspring Ave, Baltimore, Maryland. You can contact this provider via phone number 4439237717. The mailing address for Ericka Lisle Wodka is 3901 Greenspring Ave, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ericka Lisle Wodka |
|---|---|
| Address | 3901 Greenspring Ave, Baltimore, Maryland |
| Phone Number | 4439237717 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1033256342 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2008-09-08 |
Provider Mailing Address Detail
| Address | 3901 Greenspring Ave |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212111353 |
| Phone Number | 4439237717 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 4646 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Ericka Lisle Wodka by the Centers for Medicare & Medicaid Services (CMS)?
The Ericka Lisle Wodka has been assigned the NPI (National Provider Identifier) 1033256342. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Ericka Lisle Wodka's facilities are geographically located?
The facilities of Ericka Lisle Wodka are physically situated at the following location: 3901 Greenspring Ave, Baltimore, MD, 212111353.
What is Ericka Lisle Wodka's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ericka Lisle Wodka is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
When did Ericka Lisle Wodka receive its 1033256342 assignment?
The Ericka Lisle Wodka was assigned its 1033256342 on 2007-01-30, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Ericka Lisle Wodka most recently updated or revised?
The details related to Ericka Lisle Wodka, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-08.
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