Mary Engelstatter in Jacksonville - Psychologist
Mary Engelstatter - NPI 1740266220
Mary Engelstatter is a Psychologist in Jacksonville, North Carolina. Mary Engelstatter practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Engelstatter is 1740266220. The last update date is 2022-04-13.
Mary Engelstatter's current location address is 1703 Country Club Road, Jacksonville, North Carolina. You can contact this provider via phone number 9103473010 and fax number 9103473201. The mailing address for Mary Engelstatter is 1703 Country Club Road, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Engelstatter |
|---|---|
| Address | 1703 Country Club Road, Jacksonville, North Carolina |
| Phone Number | 9103473010 |
| Fax Number | 9103473201 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1740266220 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2022-04-13 |
Provider Mailing Address Detail
| Address | 1703 Country Club Road |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 28546 |
| Phone Number | 9103473010 |
| Fax Number | 9103473201 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2551 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 046UR | NC | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Engelstatter by the Centers for Medicare & Medicaid Services?
The Mary Engelstatter has been assigned the NPI (National Provider Identifier) 1740266220 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mary Engelstatter is physically located?
The Mary Engelstatter is situated at the following address: 1703 Country Club Road, Jacksonville, NC 28546.
What is the area of specialization for Mary Engelstatter, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Engelstatter is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740266220 to Mary Engelstatter?
The Centers for Medicare & Medicaid Services assigned the 1740266220 to Mary Engelstatter on 2005-12-16.
When was the information regarding Mary Engelstatter most recently updated?
The details pertaining to the Mary Engelstatter, including its address, specialty, and other relevant information, were last refreshed on 2022-04-13.
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