Michael A Backlund in Jamestown - Clinical
Michael A Backlund - NPI 1932268646
Michael A Backlund is a Clinical in Jamestown, California. Michael A Backlund practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael A Backlund is 1932268646. The last update date is 2007-07-08.
Michael A Backlund's current location address is 5100 O Brynes Ferry Rd, Jamestown, California. You can contact this provider via phone number 2099845291. The mailing address for Michael A Backlund is 5100 O Brynes Ferry Rd, Jamestown, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael A Backlund |
|---|---|
| Address | 5100 O Brynes Ferry Rd, Jamestown, California |
| Phone Number | 2099845291 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1932268646 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5100 O Brynes Ferry Rd |
|---|---|
| City | Jamestown |
| State | California (CA) |
| Post Code | 953279102 |
| Phone Number | 2099845291 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY13331 |
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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 Michael A Backlund by the Centers for Medicare & Medicaid Services?
The Michael A Backlund has been issued the NPI (National Provider Identifier) 1932268646, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael A Backlund is physically located?
The Michael A Backlund is physically situated at the following address: 5100 O Brynes Ferry Rd, Jamestown, CA, 953279102.
What is the Michael A Backlund's specialty and taxonomy code?
The Michael A Backlund's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Michael A Backlund receive its 1932268646 assignment from the Centers for Medicare & Medicaid Services?
The Michael A Backlund was assigned its 1932268646 on 2006-12-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Michael A Backlund most recently updated or refreshed?
The details pertaining to the Michael A Backlund, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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