J. Michael Priddy is a Clinical in San Mateo, California. J. Michael Priddy practices all healthcare services and medical treatments related to Clinical. The NPI Number for J. Michael Priddy is 1144283466. The last update date is 2007-07-08.
J. Michael Priddy's current location address is 1 Baywood Ave, San Mateo, California. You can contact this provider via phone number 7012559279 and fax number 7012224142. The mailing address for J. Michael Priddy is 1 Baywood Ave, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J. Michael Priddy |
|---|---|
| Address | 1 Baywood Ave, San Mateo, California |
| Phone Number | 7012559279 |
| Fax Number | 7012224142 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1144283466 |
|---|---|
| Provider Enumeration Date | 2006-04-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Baywood Ave |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944021523 |
| Phone Number | 7012559279 |
| Fax Number | 7012224142 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY10186 |
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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 |
|---|---|---|---|
| PSY10186 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to J. Michael Priddy?
The J. Michael Priddy has been issued the NPI (National Provider Identifier) 1144283466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where J. Michael Priddy's facilities are geographically located?
The facilities of J. Michael Priddy are physically situated at the following location: 1 Baywood Ave, San Mateo, CA, 944021523.
What is J. Michael Priddy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for J. Michael Priddy is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When was the J. Michael Priddy's 1144283466 issued?
The J. Michael Priddy's 1144283466 was issued on 2006-04-08.
When was the information related to J. Michael Priddy most recently updated or refreshed?
The details pertaining to the J. Michael Priddy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.