Mark Randolph Elin in Longmeadow - Clinical Neuropsychologist
Mark Randolph Elin - NPI 1366460891
Mark Randolph Elin is a Clinical Neuropsychologist in Longmeadow, Massachusetts. Mark Randolph Elin practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Mark Randolph Elin is 1366460891. The last update date is 2007-07-08.
Mark Randolph Elin's current location address is 1200 Converse St, Longmeadow, Massachusetts. You can contact this provider via phone number 4135679244. The mailing address for Mark Randolph Elin is 1200 Converse St, Longmeadow, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Randolph Elin |
|---|---|
| Address | 1200 Converse St, Longmeadow, Massachusetts |
| Phone Number | 4135679244 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1366460891 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1200 Converse St |
|---|---|
| City | Longmeadow |
| State | Massachusetts (MA) |
| Post Code | 11061760 |
| Phone Number | 4135679244 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 4026 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 522589 | MA | -- |
Post Comment/ Review Below
What is the Mark Randolph Elin's 1366460891?
The Mark Randolph Elin's NPI (National Provider Identifier) Number is 1366460891. 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 Mark Randolph Elin is physically located?
The Mark Randolph Elin is physically situated at the following address: 1200 Converse St, Longmeadow, MA, 11061760.
What is Mark Randolph Elin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Randolph Elin is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did the Mark Randolph Elin receive the assignment of its 1366460891 from the Centers for Medicare & Medicaid Services?
The Mark Randolph Elin was issued its 1366460891 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information related to Mark Randolph Elin most recently updated or refreshed?
The details pertaining to the Mark Randolph Elin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.