Krista Nicole Poulsen-Soria in Watsonville - Clinical
Krista Nicole Poulsen-Soria - NPI 1497876890
Krista Nicole Poulsen-Soria is a Clinical in Watsonville, California. Krista Nicole Poulsen-Soria practices all healthcare services and medical treatments related to Clinical. The NPI Number for Krista Nicole Poulsen-Soria is 1497876890. The last update date is 2007-07-08.
Krista Nicole Poulsen-Soria's current location address is 54 Penny Ln, Watsonville, California. You can contact this provider via phone number 8317282040 and fax number 8317282040. The mailing address for Krista Nicole Poulsen-Soria is 54 Penny Ln, Watsonville, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Krista Nicole Poulsen-Soria |
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Address | 54 Penny Ln, Watsonville, California |
Phone Number | 8317282040 |
Fax Number | 8317282040 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1497876890 |
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Provider Enumeration Date | 2007-04-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 54 Penny Ln |
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City | Watsonville |
State | California (CA) |
Post Code | 950766012 |
Phone Number | 8317282040 |
Fax Number | 8317282040 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PSY20116 |
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 identification code assigned to Krista Nicole Poulsen-Soria by the Centers for Medicare & Medicaid Services?
The Krista Nicole Poulsen-Soria has been issued the NPI (National Provider Identifier) 1497876890, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Krista Nicole Poulsen-Soria?
The Krista Nicole Poulsen-Soria is situated at 54 Penny Ln, in the city of Watsonville, state of CA, with the zip code 950766012.
What is Krista Nicole Poulsen-Soria's specialized field of practice, and what is the corresponding taxonomy classification code?
The Krista Nicole Poulsen-Soria's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Krista Nicole Poulsen-Soria receive its 1497876890 assignment from the Centers for Medicare & Medicaid Services?
The Krista Nicole Poulsen-Soria was assigned its 1497876890 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Krista Nicole Poulsen-Soria last refreshed?
The information related to the Krista Nicole Poulsen-Soria, including its address, specialty, and other relevant details, was last updated on 2007-07-08.