Jody Bantz is a Clinical in Rancho Mirage, California. Jody Bantz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jody Bantz is 1295773232. The last update date is 2015-03-18.
Jody Bantz's current location address is Po Box 2253, Rancho Mirage, California. You can contact this provider via phone number 8583442668 and fax number 7602623026. The mailing address for Jody Bantz is Po Box 2253, Rancho Mirage, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Bantz |
|---|---|
| Address | Po Box 2253, Rancho Mirage, California |
| Phone Number | 8583442668 |
| Fax Number | 7602623026 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1295773232 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2015-03-18 |
Provider Mailing Address Detail
| Address | Po Box 2253 |
|---|---|
| City | Rancho Mirage |
| State | California (CA) |
| Post Code | 922701085 |
| Phone Number | 8583442668 |
| Fax Number | 7602623026 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY20351 |
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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 identifier code issued to Jody Bantz by the Centers for Medicare & Medicaid Services?
The Jody Bantz has been assigned the NPI (National Provider Identifier) 1295773232. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jody Bantz is physically located?
The Jody Bantz is situated at the following address: Po Box 2253, Rancho Mirage, CA 922701085.
What is Jody Bantz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jody Bantz is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date was the 1295773232 assigned to Jody Bantz?
The Jody Bantz was issued its 1295773232 on 2006-06-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jody Bantz's details last updated?
The information pertaining to the Jody Bantz, including its address, specialty, and other details, was most recently updated on 2015-03-18.