Clinton Gary Pettigrew in Baton Rouge - Psychologist
Clinton Gary Pettigrew - NPI 1760443253
Clinton Gary Pettigrew is a Psychologist in Baton Rouge, Louisiana. Clinton Gary Pettigrew practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Clinton Gary Pettigrew is 1760443253. The last update date is 2015-03-12.
Clinton Gary Pettigrew's current location address is 7510 Highland Road, Baton Rouge, Louisiana. You can contact this provider via phone number 2257662822 and fax number 2257662823. The mailing address for Clinton Gary Pettigrew is 7510 Highland Road, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Gary Pettigrew |
|---|---|
| Address | 7510 Highland Road, Baton Rouge, Louisiana |
| Phone Number | 2257662822 |
| Fax Number | 2257662823 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1760443253 |
|---|---|
| Provider Enumeration Date | 2006-04-01 |
| Last Updated Date | 2015-03-12 |
Provider Mailing Address Detail
| Address | 7510 Highland Road |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708086726 |
| Phone Number | 2257662822 |
| Fax Number | 2257662823 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 322 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Clinton Gary Pettigrew by the Centers for Medicare & Medicaid Services (CMS)?
The Clinton Gary Pettigrew has been assigned the NPI (National Provider Identifier) 1760443253. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Clinton Gary Pettigrew is physically located?
The Clinton Gary Pettigrew is physically situated at the following address: 7510 Highland Road, Baton Rouge, LA, 708086726.
What is Clinton Gary Pettigrew's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Clinton Gary Pettigrew's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did Clinton Gary Pettigrew receive its 1760443253 assignment from the Centers for Medicare & Medicaid Services?
The Clinton Gary Pettigrew was assigned its 1760443253 on 2006-04-01, 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 Clinton Gary Pettigrew, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clinton Gary Pettigrew, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-12.