Leslie Frances Chatham in San Rafael - Clinical
Leslie Frances Chatham - NPI 1003974957
Leslie Frances Chatham is a Clinical in San Rafael, California. Leslie Frances Chatham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Frances Chatham is 1003974957. The last update date is 2007-07-08.
Leslie Frances Chatham's current location address is 820 Las Gallinas Ave, San Rafael, California. You can contact this provider via phone number 4154443522 and fax number 4154443019. The mailing address for Leslie Frances Chatham is 820 Las Gallinas Ave, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Frances Chatham |
|---|---|
| Address | 820 Las Gallinas Ave, San Rafael, California |
| Phone Number | 4154443522 |
| Fax Number | 4154443019 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1003974957 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 820 Las Gallinas Ave |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949033410 |
| Phone Number | 4154443522 |
| Fax Number | 4154443019 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY11380 |
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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 provider identifier assigned to Leslie Frances Chatham?
The Leslie Frances Chatham has been issued the NPI (National Provider Identifier) 1003974957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Leslie Frances Chatham located?
The Leslie Frances Chatham is located at 820 Las Gallinas Ave, San Rafael, CA 949033410.
What is the Leslie Frances Chatham's area of specialization and corresponding taxonomy classification?
The Leslie Frances Chatham's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did Leslie Frances Chatham receive its 1003974957 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Frances Chatham was assigned its 1003974957 on 2006-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Leslie Frances Chatham most recently updated or refreshed?
The details pertaining to the Leslie Frances Chatham, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.