Jil Diane Bottrell in Fairbanks - Cognitive & Behavioral
Jil Diane Bottrell - NPI 1770702524
Jil Diane Bottrell is a Cognitive & Behavioral in Fairbanks, Alaska. Jil Diane Bottrell practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Jil Diane Bottrell is 1770702524. The last update date is 2007-07-08.
Jil Diane Bottrell's current location address is 4054 Teal Ave, Fairbanks, Alaska. You can contact this provider via phone number 9074794177. The mailing address for Jil Diane Bottrell is 4054 Teal Ave, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jil Diane Bottrell |
|---|---|
| Address | 4054 Teal Ave, Fairbanks, Alaska |
| Phone Number | 9074794177 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1770702524 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4054 Teal Ave |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997093520 |
| Phone Number | 9074794177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 176 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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What is the unique 10-digit identification code assigned to Jil Diane Bottrell by the Centers for Medicare & Medicaid Services?
The Jil Diane Bottrell has been issued the NPI (National Provider Identifier) 1770702524, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jil Diane Bottrell located?
The Jil Diane Bottrell is located at 4054 Teal Ave, Fairbanks, AK 997093520.
What is Jil Diane Bottrell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jil Diane Bottrell is Cognitive & Behavioral, and the corresponding taxonomy classification code for this specialized field is 103Tb0200X.
When was the Jil Diane Bottrell's 1770702524 issued?
The Jil Diane Bottrell's 1770702524 was issued on 2007-04-24.
As of what date were the details pertaining to Jil Diane Bottrell last refreshed?
The information related to the Jil Diane Bottrell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.