Chastain Clifford Attkisson in Mill Valley - Psychologist

Chastain Clifford Attkisson - NPI 1164649125

Chastain Clifford Attkisson is a Psychologist in Mill Valley, California. Chastain Clifford Attkisson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Chastain Clifford Attkisson is 1164649125. The last update date is 2007-07-08.

Chastain Clifford Attkisson's current location address is 660 Amaranth Blvd, Mill Valley, California. You can contact this provider via phone number 4153105396 and fax number 4153837749. The mailing address for Chastain Clifford Attkisson is 660 Amaranth Blvd, Mill Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Chastain Clifford Attkisson
Address 660 Amaranth Blvd, Mill Valley, California
Phone Number 4153105396
Fax Number 4153837749
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1164649125
Provider Enumeration Date 2007-04-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 660 Amaranth Blvd
City Mill Valley
State California (CA)
Post Code 949412605
Phone Number 4153105396
Fax Number 4153837749

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PSY3653
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

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FAQs about Chastain Clifford Attkisson

What is the unique identifier code issued to Chastain Clifford Attkisson by the Centers for Medicare & Medicaid Services?

The Chastain Clifford Attkisson has been assigned the NPI (National Provider Identifier) 1164649125. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Chastain Clifford Attkisson is located?

The Chastain Clifford Attkisson is situated at the following address: 660 Amaranth Blvd, Mill Valley, CA, 949412605.

What is Chastain Clifford Attkisson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Chastain Clifford Attkisson is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

On what date did the Chastain Clifford Attkisson receive the assignment of its 1164649125 from the Centers for Medicare & Medicaid Services?

The Chastain Clifford Attkisson was issued its 1164649125 by the Centers for Medicare & Medicaid Services on 2007-04-19.

As of what date was the information regarding Chastain Clifford Attkisson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Chastain Clifford Attkisson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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