Tina Marie Caudill in Douglasville - Clinical
Tina Marie Caudill - NPI 1336120930
Tina Marie Caudill is a Clinical in Douglasville, Georgia. Tina Marie Caudill practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tina Marie Caudill is 1336120930. The last update date is 2009-08-24.
Tina Marie Caudill's current location address is Po Box 1916, Douglasville, Georgia. You can contact this provider via phone number 6782329078 and fax number 8664892642. The mailing address for Tina Marie Caudill is Po Box 1916, Douglasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Marie Caudill |
|---|---|
| Address | Po Box 1916, Douglasville, Georgia |
| Phone Number | 6782329078 |
| Fax Number | 8664892642 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1336120930 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2009-08-24 |
Provider Mailing Address Detail
| Address | Po Box 1916 |
|---|---|
| City | Douglasville |
| State | Georgia (GA) |
| Post Code | 301331916 |
| Phone Number | 6782329078 |
| Fax Number | 8664892642 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY002899 |
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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 |
|---|---|---|---|
| 112025855D | GA | -- | |
| 112025855E | GA | -- | |
| 112025855F | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tina Marie Caudill by the Centers for Medicare & Medicaid Services?
The Tina Marie Caudill has been issued the NPI (National Provider Identifier) 1336120930, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tina Marie Caudill's physical address?
The Tina Marie Caudill is physically located at Po Box 1916, in the city of Douglasville, GA, with the postal code 301331916.
What is the area of specialization for Tina Marie Caudill, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tina Marie Caudill is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Tina Marie Caudill receive its 1336120930 assignment from the Centers for Medicare & Medicaid Services?
The Tina Marie Caudill was assigned its 1336120930 by the Centers for Medicare & Medicaid Services on 2005-11-10.
As of what date was the information regarding Tina Marie Caudill, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tina Marie Caudill, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-24.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH