Alduan Rabze Tartt is a Clinical in Decatur, Georgia. Alduan Rabze Tartt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alduan Rabze Tartt is 1104997741. The last update date is 2007-07-09.
Alduan Rabze Tartt's current location address is 315 W Ponce De Leon Ave, Decatur, Georgia. You can contact this provider via phone number 4043774757 and fax number 4043708751. The mailing address for Alduan Rabze Tartt is 315 W Ponce De Leon Ave, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alduan Rabze Tartt |
|---|---|
| Address | 315 W Ponce De Leon Ave, Decatur, Georgia |
| Phone Number | 4043774757 |
| Fax Number | 4043708751 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104997741 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 315 W Ponce De Leon Ave |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300302400 |
| Phone Number | 4043774757 |
| Fax Number | 4043708751 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2535 |
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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 Alduan Rabze Tartt's unique identification number?
The Alduan Rabze Tartt has been assigned the NPI (National Provider Identifier) Number 1104997741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Alduan Rabze Tartt's facilities are situated?
The facilities of Alduan Rabze Tartt are physically located at the following address: 315 W Ponce De Leon Ave, Decatur, GA, 300302400.
What is Alduan Rabze Tartt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Alduan Rabze Tartt is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104997741 to Alduan Rabze Tartt?
The Centers for Medicare & Medicaid Services originally issued the 1104997741 to Alduan Rabze Tartt on 2006-11-13.
As of what date was the information pertaining to Alduan Rabze Tartt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alduan Rabze Tartt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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