Patricia Shull-Blood in Portage - Psychologist
Patricia Shull-Blood - NPI 1033169008
Patricia Shull-Blood is a Psychologist in Portage, Michigan. Patricia Shull-Blood practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Patricia Shull-Blood is 1033169008. The last update date is 2015-12-14.
Patricia Shull-Blood's current location address is 5148 Lovers Ln, Portage, Michigan. You can contact this provider via phone number 2693433010 and fax number 2693433017. The mailing address for Patricia Shull-Blood is 5148 Lovers Ln, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patricia Shull-Blood |
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Address | 5148 Lovers Ln, Portage, Michigan |
Phone Number | 2693433010 |
Fax Number | 2693433017 |
Sole Proprietor | N |
Credentials | LLP |
NPI Number Detail
NPI Number | 1033169008 |
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Provider Enumeration Date | 2006-05-11 |
Last Updated Date | 2015-12-14 |
Provider Mailing Address Detail
Address | 5148 Lovers Ln |
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City | Portage |
State | Michigan (MI) |
Post Code | 490021572 |
Phone Number | 2693433010 |
Fax Number | 2693433017 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 6301010066 |
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 |
---|---|---|---|
P108918030 | MI | BCBSM |
Post Comment/ Review Below
What is the unique identifier code issued to Patricia Shull-Blood by the Centers for Medicare & Medicaid Services?
The Patricia Shull-Blood has been assigned the NPI (National Provider Identifier) 1033169008. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Patricia Shull-Blood is located?
The Patricia Shull-Blood is situated at the following address: 5148 Lovers Ln, Portage, MI, 490021572.
What is the area of specialization for Patricia Shull-Blood, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Patricia Shull-Blood is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When did Patricia Shull-Blood receive its 1033169008 assignment?
The Patricia Shull-Blood was assigned its 1033169008 on 2006-05-11, which is the date when this unique identifier was issued to the organization.
When was the information regarding Patricia Shull-Blood, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Patricia Shull-Blood, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-12-14.