Charles Lavalle Page in Fort Collins - Clinical
Charles Lavalle Page - NPI 1467552059
Charles Lavalle Page is a Clinical in Fort Collins, Colorado. Charles Lavalle Page practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles Lavalle Page is 1467552059. The last update date is 2016-10-27.
Charles Lavalle Page's current location address is 149 W Harvard St, Fort Collins, Colorado. You can contact this provider via phone number 9706821173 and fax number 9702821782. The mailing address for Charles Lavalle Page is 149 W Harvard St, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Lavalle Page |
|---|---|
| Address | 149 W Harvard St, Fort Collins, Colorado |
| Phone Number | 9706821173 |
| Fax Number | 9702821782 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1467552059 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2016-10-27 |
Provider Mailing Address Detail
| Address | 149 W Harvard St |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805252186 |
| Phone Number | 9706821173 |
| Fax Number | 9702821782 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1404 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7014046 | CO | -- | |
| 113597000 | WY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Lavalle Page?
The Charles Lavalle Page has been issued the NPI (National Provider Identifier) 1467552059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Charles Lavalle Page located?
The Charles Lavalle Page is located at 149 W Harvard St, Fort Collins, CO 805252186.
What is Charles Lavalle Page's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Lavalle Page is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Charles Lavalle Page receive the assignment of its 1467552059 from the Centers for Medicare & Medicaid Services?
The Charles Lavalle Page was issued its 1467552059 by the Centers for Medicare & Medicaid Services on 2006-09-23.
When was the Charles Lavalle Page's information last updated?
The Charles Lavalle Page's information was last updated on 2016-10-27.
NPI Number: 1104826072
Address: 16581 Brookhurst St, Fountain Valley, CA