Holly N Mirell is a Psychologist in Urbana, Illinois. Holly N Mirell practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Holly N Mirell is 1043224926. The last update date is 2014-05-07.
Holly N Mirell's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2173836792 and fax number 2173834752. The mailing address for Holly N Mirell is 611 W Park St, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly N Mirell |
|---|---|
| Address | 611 W Park St, Urbana, Illinois |
| Phone Number | 2173836792 |
| Fax Number | 2173834752 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1043224926 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2014-05-07 |
Provider Mailing Address Detail
| Address | 611 W Park St |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012529 |
| Phone Number | 2173836792 |
| Fax Number | 2173834752 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 71003869 |
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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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What is the unique identifier code issued to Holly N Mirell by the Centers for Medicare & Medicaid Services?
The Holly N Mirell has been assigned the NPI (National Provider Identifier) 1043224926. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Holly N Mirell is physically located?
The Holly N Mirell is physically situated at the following address: 611 W Park St, Urbana, IL, 618012529.
What is Holly N Mirell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Holly N Mirell's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did Holly N Mirell receive its 1043224926 assignment from the Centers for Medicare & Medicaid Services?
The Holly N Mirell was assigned its 1043224926 on 2006-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Holly N Mirell's details last updated?
The information pertaining to the Holly N Mirell, including its address, specialty, and other details, was most recently updated on 2014-05-07.
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