Michael Louis Deem in Berryville - Psychologist
Michael Louis Deem - NPI 1760594212
Michael Louis Deem is a Psychologist in Berryville, Virginia. Michael Louis Deem practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael Louis Deem is 1760594212. The last update date is 2007-07-08.
Michael Louis Deem's current location address is 217 Tyson Dr, Berryville, Virginia. You can contact this provider via phone number 7038589749 and fax number 7037770170. The mailing address for Michael Louis Deem is 217 Tyson Dr, Berryville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Louis Deem |
|---|---|
| Address | 217 Tyson Dr, Berryville, Virginia |
| Phone Number | 7038589749 |
| Fax Number | 7037770170 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1760594212 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 217 Tyson Dr |
|---|---|
| City | Berryville |
| State | Virginia (VA) |
| Post Code | 226111277 |
| Phone Number | 7038589749 |
| Fax Number | 7037770170 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 810002638 |
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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 |
|---|---|---|---|
| 293876 | VA | AMERIGROUP | |
| 215237 | VA | ANTHEM |
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What is the unique 10-digit identification code issued to Michael Louis Deem by the Centers for Medicare & Medicaid Services?
The Michael Louis Deem has been assigned the NPI (National Provider Identifier) 1760594212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Michael Louis Deem's facilities are geographically located?
The facilities of Michael Louis Deem are physically situated at the following location: 217 Tyson Dr, Berryville, VA, 226111277.
What is the Michael Louis Deem's specialty and taxonomy code?
The Michael Louis Deem's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Michael Louis Deem receive the assignment of its 1760594212 from the Centers for Medicare & Medicaid Services?
The Michael Louis Deem was issued its 1760594212 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the Michael Louis Deem's details last updated?
The information pertaining to the Michael Louis Deem, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN