Phyllis Tolley in Westchester - Adult Development & Aging
Phyllis Tolley - NPI 1619169505
Phyllis Tolley is a Adult Development & Aging in Westchester, Illinois. Phyllis Tolley practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Phyllis Tolley is 1619169505. The last update date is 2015-09-01.
Phyllis Tolley's current location address is 1359 Newcastle Ave, Westchester, Illinois. You can contact this provider via phone number 7088908332. The mailing address for Phyllis Tolley is 1359 Newcastle Ave, Westchester, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Tolley |
|---|---|
| Address | 1359 Newcastle Ave, Westchester, Illinois |
| Phone Number | 7088908332 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1619169505 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2015-09-01 |
Provider Mailing Address Detail
| Address | 1359 Newcastle Ave |
|---|---|
| City | Westchester |
| State | Illinois (IL) |
| Post Code | 60154 |
| Phone Number | 7088908332 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | 071-007067 |
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Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 071-007067 | IL | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Phyllis Tolley by the Centers for Medicare & Medicaid Services?
The Phyllis Tolley has been assigned the NPI (National Provider Identifier) 1619169505 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Phyllis Tolley's facilities are situated?
The facilities of Phyllis Tolley are physically located at the following address: 1359 Newcastle Ave, Westchester, IL, 60154.
What is Phyllis Tolley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phyllis Tolley's specialized field of practice is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0700X.
When did the Phyllis Tolley receive its 1619169505?
The Phyllis Tolley was issued its 1619169505 on 2007-08-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Phyllis Tolley most recently updated or revised?
The information pertaining to Phyllis Tolley, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-01.
NPI Number: 1902809924
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