Mary Beth Summerville in Cartersville - Clinical
Mary Beth Summerville - NPI 1508946195
Mary Beth Summerville is a Clinical in Cartersville, Georgia. Mary Beth Summerville practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Beth Summerville is 1508946195. The last update date is 2012-06-29.
Mary Beth Summerville's current location address is 680 Douthit Ferry Rd, Cartersville, Georgia. You can contact this provider via phone number 7703348461 and fax number 7703348624. The mailing address for Mary Beth Summerville is 680 Douthit Ferry Rd, Cartersville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Beth Summerville |
|---|---|
| Address | 680 Douthit Ferry Rd, Cartersville, Georgia |
| Phone Number | 7703348461 |
| Fax Number | 7703348624 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1508946195 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2012-06-29 |
Provider Mailing Address Detail
| Address | 680 Douthit Ferry Rd |
|---|---|
| City | Cartersville |
| State | Georgia (GA) |
| Post Code | 301204150 |
| Phone Number | 7703348461 |
| Fax Number | 7703348624 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY001432 |
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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 |
|---|---|---|---|
| 000462294D | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Beth Summerville by the Centers for Medicare & Medicaid Services?
The Mary Beth Summerville has been assigned the NPI (National Provider Identifier) 1508946195. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Beth Summerville is geographically located?
The Mary Beth Summerville is physically situated at the following location: 680 Douthit Ferry Rd, Cartersville, GA, 301204150.
What is the Mary Beth Summerville's area of specialization and corresponding taxonomy classification?
The Mary Beth Summerville's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Mary Beth Summerville receive the assignment of its 1508946195 from the Centers for Medicare & Medicaid Services?
The Mary Beth Summerville was issued its 1508946195 by the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the Mary Beth Summerville's information last updated?
The Mary Beth Summerville's information was last updated on 2012-06-29.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN