Jody Ann Pahlavan in West Allis - Psychologist
Jody Ann Pahlavan - NPI 1093707044
Jody Ann Pahlavan is a Psychologist in West Allis, Wisconsin. Jody Ann Pahlavan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jody Ann Pahlavan is 1093707044. The last update date is 2017-08-25.
Jody Ann Pahlavan's current location address is 11101 W Lincoln Ave, West Allis, Wisconsin. You can contact this provider via phone number 4143273000. The mailing address for Jody Ann Pahlavan is 11101 W Lincoln Ave, West Allis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Ann Pahlavan |
|---|---|
| Address | 11101 W Lincoln Ave, West Allis, Wisconsin |
| Phone Number | 4143273000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1093707044 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2017-08-25 |
Provider Mailing Address Detail
| Address | 11101 W Lincoln Ave |
|---|---|
| City | West Allis |
| State | Wisconsin (WI) |
| Post Code | 532271133 |
| Phone Number | 4143273000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1694-057 |
|
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 |
|---|---|---|---|
| 39229700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jody Ann Pahlavan by the Centers for Medicare & Medicaid Services?
The Jody Ann Pahlavan has been issued the NPI (National Provider Identifier) 1093707044, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jody Ann Pahlavan?
The Jody Ann Pahlavan is situated at 11101 W Lincoln Ave, in the city of West Allis, state of WI, with the zip code 532271133.
What is Jody Ann Pahlavan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jody Ann Pahlavan is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
When was the Jody Ann Pahlavan's 1093707044 issued?
The Jody Ann Pahlavan's 1093707044 was issued on 2005-08-16.
As of what date were the details related to Jody Ann Pahlavan most recently updated or revised?
The information pertaining to Jody Ann Pahlavan, including its address, specialty, and other relevant details, was last updated or revised on 2017-08-25.