Jason Churchwell is a Clinical in Chino, California. Jason Churchwell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jason Churchwell is 1609909068. The last update date is 2015-01-23.
Jason Churchwell's current location address is 14901 Central Ave, Chino, California. You can contact this provider via phone number 9095971821. The mailing address for Jason Churchwell is 14901 Central Ave, Chino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Churchwell |
|---|---|
| Address | 14901 Central Ave, Chino, California |
| Phone Number | 9095971821 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1609909068 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | 14901 Central Ave |
|---|---|
| City | Chino |
| State | California (CA) |
| Post Code | 917109500 |
| Phone Number | 9095971821 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY23563 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Jason Churchwell by the Centers for Medicare & Medicaid Services?
The Jason Churchwell has been issued the NPI (National Provider Identifier) 1609909068 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jason Churchwell's facilities are geographically located?
The facilities of Jason Churchwell are physically situated at the following location: 14901 Central Ave, Chino, CA, 917109500.
What is the Jason Churchwell's specialty and taxonomy code?
The Jason Churchwell's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1609909068 assigned to Jason Churchwell?
The Jason Churchwell was issued its 1609909068 on 2007-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jason Churchwell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason Churchwell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-01-23.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC