Jill D Pollock is a Psychologist in Pueblo, Colorado. Jill D Pollock practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jill D Pollock is 1376614784. The last update date is 2007-07-08.
Jill D Pollock's current location address is 1115 N Grand Ave, Pueblo, Colorado. You can contact this provider via phone number 7195624414 and fax number 7195624415. The mailing address for Jill D Pollock is 1115 N Grand Ave, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill D Pollock |
|---|---|
| Address | 1115 N Grand Ave, Pueblo, Colorado |
| Phone Number | 7195624414 |
| Fax Number | 7195624415 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1376614784 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1115 N Grand Ave |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 81003 |
| Phone Number | 7195624414 |
| Fax Number | 7195624415 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2010 |
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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 |
|---|---|---|---|
| 35311 | CO | -- |
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What is the unique identifier code issued to Jill D Pollock by the Centers for Medicare & Medicaid Services?
The Jill D Pollock has been assigned the NPI (National Provider Identifier) 1376614784. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jill D Pollock's physical address?
The Jill D Pollock is physically located at 1115 N Grand Ave, in the city of Pueblo, CO, with the postal code 81003.
What is Jill D Pollock's area of expertise and its corresponding taxonomy classification?
The Jill D Pollock's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
When was the Jill D Pollock's 1376614784 issued?
The Jill D Pollock's 1376614784 was issued on 2006-11-10.
As of what date were the Jill D Pollock's details last updated?
The information pertaining to the Jill D Pollock, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1215930425
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