Michiyo Ambrosius is a Clinical in Danville, California. Michiyo Ambrosius practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michiyo Ambrosius is 1275681769. The last update date is 2007-07-08.
Michiyo Ambrosius's current location address is 2491 Tassajara Ln, Danville, California. You can contact this provider via phone number 9253898233 and fax number 9257362007. The mailing address for Michiyo Ambrosius is 2491 Tassajara Ln, Danville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michiyo Ambrosius |
|---|---|
| Address | 2491 Tassajara Ln, Danville, California |
| Phone Number | 9253898233 |
| Fax Number | 9257362007 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1275681769 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2491 Tassajara Ln |
|---|---|
| City | Danville |
| State | California (CA) |
| Post Code | 945264411 |
| Phone Number | 9253898233 |
| Fax Number | 9257362007 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY19516 |
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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 identification code assigned to Michiyo Ambrosius by the Centers for Medicare & Medicaid Services?
The Michiyo Ambrosius has been issued the NPI (National Provider Identifier) 1275681769, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michiyo Ambrosius is physically located?
The Michiyo Ambrosius is situated at the following address: 2491 Tassajara Ln, Danville, CA 945264411.
What is the Michiyo Ambrosius's specialty and taxonomy code?
The Michiyo Ambrosius's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Michiyo Ambrosius receive the assignment of its 1275681769 from the Centers for Medicare & Medicaid Services?
The Michiyo Ambrosius was issued its 1275681769 by the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date were the Michiyo Ambrosius's details last updated?
The information pertaining to the Michiyo Ambrosius, including its address, specialty, and other details, was most recently updated on 2007-07-08.