Carol Clendinen in Leesburg - Addiction (substance Use Disorder)

Carol Clendinen - NPI 1063476265

Carol Clendinen is a Addiction (substance Use Disorder) in Leesburg, Florida. Carol Clendinen practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Carol Clendinen is 1063476265. The last update date is 2007-07-09.

Carol Clendinen's current location address is 35618 Calla Ct, Leesburg, Florida. You can contact this provider via phone number 3523571500 and fax number 3523606582. The mailing address for Carol Clendinen is 35618 Calla Ct, Leesburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Clendinen
Address 35618 Calla Ct, Leesburg, Florida
Phone Number 3523571500
Fax Number 3523606582
Sole Proprietor N
Credentials LMHC, CAP,

NPI Number Detail

NPI Number 1063476265
Provider Enumeration Date 2006-04-14
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 35618 Calla Ct
City Leesburg
State Florida (FL)
Post Code 347882306
Phone Number 3523571500
Fax Number 3523606582

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 103Ta0400X
Licence No CAP 311
Definition:
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z090Q FL BLUE CROSS BLUE SHIELD #

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FAQs about Carol Clendinen

What is the Carol Clendinen's 1063476265?

The Carol Clendinen's NPI (National Provider Identifier) Number is 1063476265. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Carol Clendinen is physically located?

The Carol Clendinen is physically situated at the following address: 35618 Calla Ct, Leesburg, FL, 347882306.

What is the area of specialization for Carol Clendinen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Carol Clendinen is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 103Ta0400X.

When did Carol Clendinen receive its 1063476265 assignment?

The Carol Clendinen was assigned its 1063476265 on 2006-04-14, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Carol Clendinen last refreshed?

The information related to the Carol Clendinen, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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