Mona L Etchison in Palos Heights - Psychologist
Mona L Etchison - NPI 1083700769
Mona L Etchison is a Psychologist in Palos Heights, Illinois. Mona L Etchison practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mona L Etchison is 1083700769. The last update date is 2007-07-08.
Mona L Etchison's current location address is 12255 S 80th Avenue, Palos Heights, Illinois. You can contact this provider via phone number 7089237878 and fax number 7089237888. The mailing address for Mona L Etchison is 12255 S 80th Avenue, Palos Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mona L Etchison |
|---|---|
| Address | 12255 S 80th Avenue, Palos Heights, Illinois |
| Phone Number | 7089237878 |
| Fax Number | 7089237888 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1083700769 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12255 S 80th Avenue |
|---|---|
| City | Palos Heights |
| State | Illinois (IL) |
| Post Code | 60463 |
| Phone Number | 7089237878 |
| Fax Number | 7089237888 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 |
|---|---|---|---|
| 991516762 | IL | BCBS | |
| 7229P | IL | CATERPILLAR | |
| 219043 | IL | MAGELLAN | |
| 536182 | IL | VALUE BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique identification code assigned to Mona L Etchison by the Centers for Medicare & Medicaid Services?
The Mona L Etchison has been issued the NPI (National Provider Identifier) 1083700769. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mona L Etchison's facilities are geographically located?
The facilities of Mona L Etchison are physically situated at the following location: 12255 S 80Th Avenue, Palos Heights, IL, 60463.
What is Mona L Etchison's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mona L Etchison's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did Mona L Etchison receive its 1083700769 assignment from the Centers for Medicare & Medicaid Services?
The Mona L Etchison was assigned its 1083700769 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mona L Etchison, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mona L Etchison, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.