Marina Bystritsky is a Clinical in Palo Alto, California. Marina Bystritsky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marina Bystritsky is 1710933874. The last update date is 2007-07-08.
Marina Bystritsky's current location address is 467 Hamilton Ave, Palo Alto, California. You can contact this provider via phone number 6505255522. The mailing address for Marina Bystritsky is 467 Hamilton Ave, Palo Alto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marina Bystritsky |
|---|---|
| Address | 467 Hamilton Ave, Palo Alto, California |
| Phone Number | 6505255522 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1710933874 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 467 Hamilton Ave |
|---|---|
| City | Palo Alto |
| State | California (CA) |
| Post Code | 943011830 |
| Phone Number | 6505255522 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 18733 |
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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 Marina Bystritsky by the Centers for Medicare & Medicaid Services?
The Marina Bystritsky has been issued the NPI (National Provider Identifier) 1710933874 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 Marina Bystritsky's facilities are geographically located?
The facilities of Marina Bystritsky are physically situated at the following location: 467 Hamilton Ave, Palo Alto, CA, 943011830.
What is the Marina Bystritsky's specialty and taxonomy code?
The Marina Bystritsky's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Marina Bystritsky receive the assignment of its 1710933874 from the Centers for Medicare & Medicaid Services?
The Marina Bystritsky was issued its 1710933874 by the Centers for Medicare & Medicaid Services on 2006-05-26.
As of what date were the details pertaining to Marina Bystritsky last refreshed?
The information related to the Marina Bystritsky, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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