Craig Alan Childress in La Verne - Clinical
Craig Alan Childress - NPI 1649499203
Craig Alan Childress is a Clinical in La Verne, California. Craig Alan Childress practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig Alan Childress is 1649499203. The last update date is 2008-08-05.
Craig Alan Childress's current location address is 2124 Bogie Dr., La Verne, California. You can contact this provider via phone number 9098215398. The mailing address for Craig Alan Childress is 2124 Bogie Dr., La Verne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Alan Childress |
|---|---|
| Address | 2124 Bogie Dr., La Verne, California |
| Phone Number | 9098215398 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1649499203 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
| Address | 2124 Bogie Dr. |
|---|---|
| City | La Verne |
| State | California (CA) |
| Post Code | 917505144 |
| Phone Number | 9098215398 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 18857 |
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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 Craig Alan Childress by the Centers for Medicare & Medicaid Services?
The Craig Alan Childress has been issued the NPI (National Provider Identifier) 1649499203, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Craig Alan Childress's facilities are geographically located?
The facilities of Craig Alan Childress are physically situated at the following location: 2124 Bogie Dr., La Verne, CA, 917505144.
What is Craig Alan Childress's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Craig Alan Childress's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did Craig Alan Childress receive its 1649499203 assignment?
The Craig Alan Childress was assigned its 1649499203 on 2007-04-24, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Craig Alan Childress, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Craig Alan Childress, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-05.