Janice Moore Pettis in Roseville - Clinical
Janice Moore Pettis - NPI 1619908852
Janice Moore Pettis is a Clinical in Roseville, California. Janice Moore Pettis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Janice Moore Pettis is 1619908852. The last update date is 2007-07-08.
Janice Moore Pettis's current location address is 219 Estates Drive, Roseville, California. You can contact this provider via phone number 9167869323. The mailing address for Janice Moore Pettis is 219 Estates Drive, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janice Moore Pettis |
|---|---|
| Address | 219 Estates Drive, Roseville, California |
| Phone Number | 9167869323 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1619908852 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 219 Estates Drive |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956782391 |
| Phone Number | 9167869323 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY11524 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Janice Moore Pettis by the Centers for Medicare & Medicaid Services?
The Janice Moore Pettis has been assigned the NPI (National Provider Identifier) 1619908852 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Janice Moore Pettis is geographically located?
The Janice Moore Pettis is physically situated at the following location: 219 Estates Drive, Roseville, CA, 956782391.
What is the Janice Moore Pettis's area of specialization and corresponding taxonomy classification?
The Janice Moore Pettis's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did the Janice Moore Pettis receive its 1619908852?
The Janice Moore Pettis was issued its 1619908852 on 2006-07-05, which is the date when the organization was assigned this unique identifier.
As of what date were the Janice Moore Pettis's details last updated?
The information pertaining to the Janice Moore Pettis, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK