Medical Psychology Center Pa in Ormond Beach - Clinical
Medical Psychology Center Pa - NPI 1881891174
Medical Psychology Center Pa is a Clinical in Ormond Beach, Florida. Medical Psychology Center Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Medical Psychology Center Pa is 1881891174. The last update date is 2009-01-16.
Medical Psychology Center Pa's current location address is 570 Memorial Cir, Ormond Beach, Florida. You can contact this provider via phone number 3866729250 and fax number 3866729251. The mailing address for Medical Psychology Center Pa is 570 Memorial Cir, Ormond Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical Psychology Center Pa |
|---|---|
| Address | 570 Memorial Cir, Ormond Beach, Florida |
| Phone Number | 3866729250 |
| Fax Number | 3866729251 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Billiot Marie Katherine |
| Credentials | PSY.D. |
| Telephone Number | 3866729250 |
NPI Number Detail
| NPI Number | 1881891174 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2009-01-16 |
Provider Mailing Address Detail
| Address | 570 Memorial Cir |
|---|---|
| City | Ormond Beach |
| State | Florida (FL) |
| Post Code | 321745002 |
| Phone Number | 3866729250 |
| Fax Number | 3866729251 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY7252 |
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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 Medical Psychology Center Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Medical Psychology Center Pa has been assigned the NPI (National Provider Identifier) 1881891174. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Medical Psychology Center Pa's facilities are situated?
The facilities of Medical Psychology Center Pa are physically located at the following address: 570 Memorial Cir, Ormond Beach, FL, 321745002.
What is Medical Psychology Center Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Medical Psychology Center Pa is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Medical Psychology Center Pa receive its 1881891174 assignment from the Centers for Medicare & Medicaid Services?
The Medical Psychology Center Pa was assigned its 1881891174 on 2007-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Medical Psychology Center Pa's information last updated?
The Medical Psychology Center Pa's information was last updated on 2009-01-16.