Susan Evich Cozolino in Marina Del Rey - Clinical
Susan Evich Cozolino - NPI 1700972551
Susan Evich Cozolino is a Clinical in Marina Del Rey, California. Susan Evich Cozolino practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Evich Cozolino is 1700972551. The last update date is 2007-07-08.
Susan Evich Cozolino's current location address is Po Box 11503, Marina Del Rey, California. You can contact this provider via phone number 2136394708. The mailing address for Susan Evich Cozolino is Po Box 11503, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Evich Cozolino |
|---|---|
| Address | Po Box 11503, Marina Del Rey, California |
| Phone Number | 2136394708 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1700972551 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 11503 |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902957503 |
| Phone Number | 2136394708 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17635 |
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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 identification code assigned to Susan Evich Cozolino by the Centers for Medicare & Medicaid Services?
The Susan Evich Cozolino has been issued the NPI (National Provider Identifier) 1700972551. This 10-digit code 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 Susan Evich Cozolino's facilities are geographically located?
The facilities of Susan Evich Cozolino are physically situated at the following location: Po Box 11503, Marina Del Rey, CA, 902957503.
What is Susan Evich Cozolino's area of expertise and its corresponding taxonomy classification?
The Susan Evich Cozolino's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Susan Evich Cozolino receive its 1700972551 assignment from the Centers for Medicare & Medicaid Services?
The Susan Evich Cozolino was assigned its 1700972551 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date were the details pertaining to Susan Evich Cozolino last refreshed?
The information related to the Susan Evich Cozolino, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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