Jeffrey Bruce Elliott in Santa Maria - Clinical

Jeffrey Bruce Elliott - NPI 1114919263

Jeffrey Bruce Elliott is a Clinical in Santa Maria, California. Jeffrey Bruce Elliott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey Bruce Elliott is 1114919263. The last update date is 2007-07-08.

Jeffrey Bruce Elliott's current location address is Po Box 425, Santa Maria, California. You can contact this provider via phone number 8059345900. The mailing address for Jeffrey Bruce Elliott is Po Box 425, Santa Maria, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Bruce Elliott
Address Po Box 425, Santa Maria, California
Phone Number 8059345900
Fax Number
Sole Proprietor Y
Credentials PSYD

NPI Number Detail

NPI Number 1114919263
Provider Enumeration Date 2005-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 425
City Santa Maria
State California (CA)
Post Code 934560425
Phone Number 8059345900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY 17917
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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FAQs about Jeffrey Bruce Elliott

What is the unique 10-digit identification code issued to Jeffrey Bruce Elliott by the Centers for Medicare & Medicaid Services?

The Jeffrey Bruce Elliott has been assigned the NPI (National Provider Identifier) 1114919263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jeffrey Bruce Elliott's facilities are situated?

The facilities of Jeffrey Bruce Elliott are physically located at the following address: Po Box 425, Santa Maria, CA, 934560425.

What is Jeffrey Bruce Elliott's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrey Bruce Elliott is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1114919263 to Jeffrey Bruce Elliott?

The Centers for Medicare & Medicaid Services assigned the 1114919263 to Jeffrey Bruce Elliott on 2005-08-16.

When was the information regarding Jeffrey Bruce Elliott, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeffrey Bruce Elliott, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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