Selene Louise Mitlyng in San Francisco - Clinical
Selene Louise Mitlyng - NPI 1124177258
Selene Louise Mitlyng is a Clinical in San Francisco, California. Selene Louise Mitlyng practices all healthcare services and medical treatments related to Clinical. The NPI Number for Selene Louise Mitlyng is 1124177258. The last update date is 2007-08-06.
Selene Louise Mitlyng's current location address is 1701 Ocean Ave, San Francisco, California. You can contact this provider via phone number 4154522200. The mailing address for Selene Louise Mitlyng is 1701 Ocean Ave, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Selene Louise Mitlyng |
|---|---|
| Address | 1701 Ocean Ave, San Francisco, California |
| Phone Number | 4154522200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124177258 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-08-06 |
Provider Mailing Address Detail
| Address | 1701 Ocean Ave |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941121727 |
| Phone Number | 4154522200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY13251 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPL132510 | CA | BLUE SHIELD | |
| OPL13250 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Selene Louise Mitlyng by the Centers for Medicare & Medicaid Services?
The Selene Louise Mitlyng has been issued the NPI (National Provider Identifier) 1124177258 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Selene Louise Mitlyng located?
The Selene Louise Mitlyng is located at 1701 Ocean Ave, San Francisco, CA 941121727.
What is the Selene Louise Mitlyng's specialty and taxonomy code?
The Selene Louise Mitlyng's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1124177258 assigned to Selene Louise Mitlyng?
The Selene Louise Mitlyng was issued its 1124177258 on 2007-01-09, 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 pertaining to Selene Louise Mitlyng, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Selene Louise Mitlyng, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-06.