Patricia Suzanne Alsup in Petaluma - Psychologist
Patricia Suzanne Alsup - NPI 1154349140
Patricia Suzanne Alsup is a Psychologist in Petaluma, California. Patricia Suzanne Alsup practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Patricia Suzanne Alsup is 1154349140. The last update date is 2022-07-28.
Patricia Suzanne Alsup's current location address is 229 Keokuk St Apt 2, Petaluma, California. You can contact this provider via phone number 7076301789. The mailing address for Patricia Suzanne Alsup is 229 Keokuk St Apt 2, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Suzanne Alsup |
|---|---|
| Address | 229 Keokuk St Apt 2, Petaluma, California |
| Phone Number | 7076301789 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1154349140 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2022-07-28 |
Provider Mailing Address Detail
| Address | 229 Keokuk St Apt 2 |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949522773 |
| Phone Number | 7076301789 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY12124 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0PL121240 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Patricia Suzanne Alsup by the Centers for Medicare & Medicaid Services?
The Patricia Suzanne Alsup has been assigned the NPI (National Provider Identifier) 1154349140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Patricia Suzanne Alsup is physically located?
The Patricia Suzanne Alsup is physically situated at the following address: 229 Keokuk St Apt 2, Petaluma, CA, 949522773.
What is the area of specialization for Patricia Suzanne Alsup, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Patricia Suzanne Alsup is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When did Patricia Suzanne Alsup receive its 1154349140 assignment?
The Patricia Suzanne Alsup was assigned its 1154349140 on 2006-07-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Patricia Suzanne Alsup most recently updated or revised?
The information pertaining to Patricia Suzanne Alsup, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-28.