Kelli Mcamis Whitley in Jacksonville - Psychologist

Kelli Mcamis Whitley - NPI 1780883439

Kelli Mcamis Whitley is a Psychologist in Jacksonville, North Carolina. Kelli Mcamis Whitley practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kelli Mcamis Whitley is 1780883439. The last update date is 2008-05-08.

Kelli Mcamis Whitley's current location address is 1703 Country Club Rd, Jacksonville, North Carolina. You can contact this provider via phone number 9103473010 and fax number 9103470740. The mailing address for Kelli Mcamis Whitley is 1703 Country Club Rd, Jacksonville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelli Mcamis Whitley
Address 1703 Country Club Rd, Jacksonville, North Carolina
Phone Number 9103473010
Fax Number 9103470740
Sole Proprietor N
Credentials M.A.

NPI Number Detail

NPI Number 1780883439
Provider Enumeration Date 2007-07-13
Last Updated Date 2008-05-08

Provider Mailing Address Detail

Address 1703 Country Club Rd
City Jacksonville
State North Carolina (NC)
Post Code 285466008
Phone Number 9103473010
Fax Number 9103470740

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2445
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
6107511 NC --
146A8 NC BC/BS

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FAQs about Kelli Mcamis Whitley

What is the unique 10-digit identification code assigned to Kelli Mcamis Whitley by the Centers for Medicare & Medicaid Services?

The Kelli Mcamis Whitley has been issued the NPI (National Provider Identifier) 1780883439, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kelli Mcamis Whitley is geographically located?

The Kelli Mcamis Whitley is physically situated at the following location: 1703 Country Club Rd, Jacksonville, NC, 285466008.

What is Kelli Mcamis Whitley's area of expertise and its corresponding taxonomy classification?

The Kelli Mcamis Whitley's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Kelli Mcamis Whitley receive the assignment of its 1780883439 from the Centers for Medicare & Medicaid Services?

The Kelli Mcamis Whitley was issued its 1780883439 by the Centers for Medicare & Medicaid Services on 2007-07-13.

As of what date were the Kelli Mcamis Whitley's details last updated?

The information pertaining to the Kelli Mcamis Whitley, including its address, specialty, and other details, was most recently updated on 2008-05-08.

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