Pediatric Adolescent Center in Cordova - Psychologist
Pediatric Adolescent Center - NPI 1497956825
Pediatric Adolescent Center is a Psychologist in Cordova, Tennessee. Pediatric Adolescent Center practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Pediatric Adolescent Center is 1497956825. The last update date is 2020-08-22.
Pediatric Adolescent Center's current location address is 882 Willow Tree Cir Ste 201, Cordova, Tennessee. You can contact this provider via phone number 9017573520 and fax number 9017373807. The mailing address for Pediatric Adolescent Center is 882 Willow Tree Cir Ste 201, Cordova, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Adolescent Center |
|---|---|
| Address | 882 Willow Tree Cir Ste 201, Cordova, Tennessee |
| Phone Number | 9017573520 |
| Fax Number | 9017373807 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FRONT DESK |
|---|---|
| Authorized Official Name | Hall Renea Melissa |
| Telephone Number | 9017573520 |
NPI Number Detail
| NPI Number | 1497956825 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 882 Willow Tree Cir Ste 201 |
|---|---|
| City | Cordova |
| State | Tennessee (TN) |
| Post Code | 380183118 |
| Phone Number | 9017573520 |
| Fax Number | 9017373807 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2676 |
|
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 |
|
Post Comment/ Review Below
What is the Pediatric Adolescent Center's unique identification number?
The Pediatric Adolescent Center has been assigned the NPI (National Provider Identifier) Number 1497956825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Pediatric Adolescent Center's facilities are geographically located?
The facilities of Pediatric Adolescent Center are physically situated at the following location: 882 Willow Tree Cir Ste 201, Cordova, TN, 380183118.
What is Pediatric Adolescent Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pediatric Adolescent Center is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497956825 to Pediatric Adolescent Center?
The Centers for Medicare & Medicaid Services assigned the 1497956825 to Pediatric Adolescent Center on 2007-05-31.
As of what date were the details related to Pediatric Adolescent Center most recently updated or revised?
The information pertaining to Pediatric Adolescent Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI