Mary Jane Mclellan in Flagstaff - Psychologist
Mary Jane Mclellan - NPI 1407853625
Mary Jane Mclellan is a Psychologist in Flagstaff, Arizona. Mary Jane Mclellan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Jane Mclellan is 1407853625. The last update date is 2007-07-09.
Mary Jane Mclellan's current location address is 2415 W Kiltie Ln, Flagstaff, Arizona. You can contact this provider via phone number 9287743086 and fax number 9282138507. The mailing address for Mary Jane Mclellan is 2415 W Kiltie Ln, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Mclellan |
|---|---|
| Address | 2415 W Kiltie Ln, Flagstaff, Arizona |
| Phone Number | 9287743086 |
| Fax Number | 9282138507 |
| Sole Proprietor | X |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1407853625 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2415 W Kiltie Ln |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860019107 |
| Phone Number | 9287743086 |
| Fax Number | 9282138507 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3087 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 361650 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Jane Mclellan by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Jane Mclellan has been assigned the NPI (National Provider Identifier) 1407853625. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mary Jane Mclellan?
The Mary Jane Mclellan is physically situated at 2415 W Kiltie Ln, in the city of Flagstaff, state of AZ, with the postal code 860019107.
What is the Mary Jane Mclellan's area of specialization and corresponding taxonomy classification?
The Mary Jane Mclellan's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1407853625 to Mary Jane Mclellan?
The Centers for Medicare & Medicaid Services assigned the 1407853625 to Mary Jane Mclellan on 2005-07-01.
When was the information regarding Mary Jane Mclellan most recently updated?
The details pertaining to the Mary Jane Mclellan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.