Dr. Michelle Channing Pa in Weston - Clinical
Dr. Michelle Channing Pa - NPI 1417037102
Dr. Michelle Channing Pa is a Clinical in Weston, Florida. Dr. Michelle Channing Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dr. Michelle Channing Pa is 1417037102. The last update date is 2021-09-16.
Dr. Michelle Channing Pa's current location address is 2741 Executive Park Dr, Weston, Florida. You can contact this provider via phone number 9543856750 and fax number 9543856757. The mailing address for Dr. Michelle Channing Pa is 2741 Executive Park Dr, Weston, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr. Michelle Channing Pa |
|---|---|
| Address | 2741 Executive Park Dr, Weston, Florida |
| Phone Number | 9543856750 |
| Fax Number | 9543856757 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Channing Michelle |
| Credentials | PSY.D. |
| Telephone Number | 9543856750 |
NPI Number Detail
| NPI Number | 1417037102 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2021-09-16 |
Provider Mailing Address Detail
| Address | 2741 Executive Park Dr |
|---|---|
| City | Weston |
| State | Florida (FL) |
| Post Code | 333313641 |
| Phone Number | 9543856750 |
| Fax Number | 9543856757 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY6745 |
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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 |
|---|---|---|---|
| Q0486 | MEDICARE GROUP PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dr. Michelle Channing Pa by the Centers for Medicare & Medicaid Services?
The Dr. Michelle Channing Pa has been assigned the NPI (National Provider Identifier) 1417037102 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Dr. Michelle Channing Pa located?
The Dr. Michelle Channing Pa is located at 2741 Executive Park Dr, Weston, FL 333313641.
What is Dr. Michelle Channing Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dr. Michelle Channing Pa is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417037102 to Dr. Michelle Channing Pa?
The Centers for Medicare & Medicaid Services assigned the 1417037102 to Dr. Michelle Channing Pa on 2006-10-17.
When was the information regarding Dr. Michelle Channing Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dr. Michelle Channing Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-09-16.