Jennifer Mae Pruitt in West Covina - Clinical
Jennifer Mae Pruitt - NPI 1497949937
Jennifer Mae Pruitt is a Clinical in West Covina, California. Jennifer Mae Pruitt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Mae Pruitt is 1497949937. The last update date is 2011-05-11.
Jennifer Mae Pruitt's current location address is 1215 W West Covina Pkwy, West Covina, California. You can contact this provider via phone number 5624771161. The mailing address for Jennifer Mae Pruitt is 1215 W West Covina Pkwy, West Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Mae Pruitt |
|---|---|
| Address | 1215 W West Covina Pkwy, West Covina, California |
| Phone Number | 5624771161 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1497949937 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 1215 W West Covina Pkwy |
|---|---|
| City | West Covina |
| State | California (CA) |
| Post Code | 917902946 |
| Phone Number | 5624771161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY24215 |
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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 identifier code issued to Jennifer Mae Pruitt by the Centers for Medicare & Medicaid Services?
The Jennifer Mae Pruitt has been assigned the NPI (National Provider Identifier) 1497949937. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jennifer Mae Pruitt is physically located?
The Jennifer Mae Pruitt is situated at the following address: 1215 W West Covina Pkwy, West Covina, CA 917902946.
What is Jennifer Mae Pruitt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer Mae Pruitt is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Jennifer Mae Pruitt receive its 1497949937 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Mae Pruitt was assigned its 1497949937 on 2007-08-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jennifer Mae Pruitt most recently updated?
The details pertaining to the Jennifer Mae Pruitt, including its address, specialty, and other relevant information, were last refreshed on 2011-05-11.