Jerel Eugene Deldotto in Clinton Township - Psychologist
Jerel Eugene Deldotto - NPI 1124085816
Jerel Eugene Deldotto is a Psychologist in Clinton Township, Michigan. Jerel Eugene Deldotto practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jerel Eugene Deldotto is 1124085816. The last update date is 2010-03-15.
Jerel Eugene Deldotto's current location address is 36405 Harper Ave, Clinton Township, Michigan. You can contact this provider via phone number 5867916060 and fax number 5867918211. The mailing address for Jerel Eugene Deldotto is 36405 Harper Ave, Clinton Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerel Eugene Deldotto |
|---|---|
| Address | 36405 Harper Ave, Clinton Township, Michigan |
| Phone Number | 5867916060 |
| Fax Number | 5867918211 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1124085816 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2010-03-15 |
Provider Mailing Address Detail
| Address | 36405 Harper Ave |
|---|---|
| City | Clinton Township |
| State | Michigan (MI) |
| Post Code | 480352957 |
| Phone Number | 5867916060 |
| Fax Number | 5867918211 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301005951 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 620005726 | MI | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerel Eugene Deldotto by the Centers for Medicare & Medicaid Services?
The Jerel Eugene Deldotto has been issued the NPI (National Provider Identifier) 1124085816, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerel Eugene Deldotto's physical address?
The Jerel Eugene Deldotto is physically located at 36405 Harper Ave, in the city of Clinton Township, MI, with the postal code 480352957.
What is Jerel Eugene Deldotto's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerel Eugene Deldotto is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date was the 1124085816 assigned to Jerel Eugene Deldotto?
The Jerel Eugene Deldotto was issued its 1124085816 on 2006-04-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jerel Eugene Deldotto, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerel Eugene Deldotto, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-15.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA