Joan Alice Carrillo in Homestead - Clinical
Joan Alice Carrillo - NPI 1770502858
Joan Alice Carrillo is a Clinical in Homestead, Florida. Joan Alice Carrillo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan Alice Carrillo is 1770502858. The last update date is 2007-07-08.
Joan Alice Carrillo's current location address is 100 Ne 15th St, Homestead, Florida. You can contact this provider via phone number 3056667055 and fax number 3052453901. The mailing address for Joan Alice Carrillo is 100 Ne 15th St, Homestead, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Alice Carrillo |
|---|---|
| Address | 100 Ne 15th St, Homestead, Florida |
| Phone Number | 3056667055 |
| Fax Number | 3052453901 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1770502858 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Ne 15th St |
|---|---|
| City | Homestead |
| State | Florida (FL) |
| Post Code | 33030 |
| Phone Number | 3056667055 |
| Fax Number | 3052453901 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY4463 |
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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 |
|---|---|---|---|
| 73918 | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Joan Alice Carrillo by the Centers for Medicare & Medicaid Services?
The Joan Alice Carrillo has been issued the NPI (National Provider Identifier) 1770502858. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Joan Alice Carrillo is physically located?
The Joan Alice Carrillo is physically situated at the following address: 100 Ne 15Th St, Homestead, FL, 33030.
What is Joan Alice Carrillo's area of expertise and its corresponding taxonomy classification?
The Joan Alice Carrillo's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did Joan Alice Carrillo receive its 1770502858 assignment?
The Joan Alice Carrillo was assigned its 1770502858 on 2006-07-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Joan Alice Carrillo most recently updated or revised?
The information pertaining to Joan Alice Carrillo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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