Jim Utic is a Clinical in Solana Beach, California. Jim Utic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jim Utic is 1538249313. The last update date is 2007-07-08.
Jim Utic's current location address is 462 Stevens Ave, Solana Beach, California. You can contact this provider via phone number 7604021212. The mailing address for Jim Utic is 462 Stevens Ave, Solana Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim Utic |
|---|---|
| Address | 462 Stevens Ave, Solana Beach, California |
| Phone Number | 7604021212 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1538249313 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 462 Stevens Ave |
|---|---|
| City | Solana Beach |
| State | California (CA) |
| Post Code | 920752075 |
| Phone Number | 7604021212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 15647 |
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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 10-digit identifier code assigned to Jim Utic by the Centers for Medicare & Medicaid Services?
The Jim Utic has been issued the NPI (National Provider Identifier) 1538249313 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jim Utic is geographically located?
The Jim Utic is physically situated at the following location: 462 Stevens Ave, Solana Beach, CA, 920752075.
What is Jim Utic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jim Utic's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When was the Jim Utic's 1538249313 issued?
The Jim Utic's 1538249313 was issued on 2006-10-16.
When was the information pertaining to Jim Utic most recently updated or revised?
The details related to Jim Utic, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.