Johanna J Mytko is a Clinical in Redondo Beach, California. Johanna J Mytko practices all healthcare services and medical treatments related to Clinical. The NPI Number for Johanna J Mytko is 1831250091. The last update date is 2016-02-12.
Johanna J Mytko's current location address is 205 Avenue I, Redondo Beach, California. You can contact this provider via phone number 3108099188. The mailing address for Johanna J Mytko is 205 Avenue I, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johanna J Mytko |
|---|---|
| Address | 205 Avenue I, Redondo Beach, California |
| Phone Number | 3108099188 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1831250091 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2016-02-12 |
Provider Mailing Address Detail
| Address | 205 Avenue I |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902775619 |
| Phone Number | 3108099188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY20229 |
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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 Johanna J Mytko by the Centers for Medicare & Medicaid Services?
The Johanna J Mytko has been assigned the NPI (National Provider Identifier) 1831250091. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Johanna J Mytko's facilities are geographically located?
The facilities of Johanna J Mytko are physically situated at the following location: 205 Avenue I, Redondo Beach, CA, 902775619.
What is Johanna J Mytko's area of expertise and its corresponding taxonomy classification?
The Johanna J Mytko'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 was the 1831250091 assigned to Johanna J Mytko?
The Johanna J Mytko was issued its 1831250091 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Johanna J Mytko, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Johanna J Mytko, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-12.
NPI Number: 1487640876
Address: 587 5th St W, Sonoma, CA