Phyllis R Cazares in Tifton - Clinical

Phyllis R Cazares - NPI 1750448783

Phyllis R Cazares is a Clinical in Tifton, Georgia. Phyllis R Cazares practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis R Cazares is 1750448783. The last update date is 2012-10-09.

Phyllis R Cazares's current location address is P.o. Box 2707, Tifton, Georgia. You can contact this provider via phone number 2293880932 and fax number 2293880933. The mailing address for Phyllis R Cazares is P.o. Box 2707, Tifton, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Phyllis R Cazares
Address P.o. Box 2707, Tifton, Georgia
Phone Number 2293880932
Fax Number 2293880933
Sole Proprietor Y
Credentials PHD.

NPI Number Detail

NPI Number 1750448783
Provider Enumeration Date 2007-01-02
Last Updated Date 2012-10-09

Provider Mailing Address Detail

Address P.o. Box 2707
City Tifton
State Georgia (GA)
Post Code 317932707
Phone Number 2293880932
Fax Number 2293880933

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY002556
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000936207C GA --

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FAQs about Phyllis R Cazares

What is the unique 10-digit identification code issued to Phyllis R Cazares by the Centers for Medicare & Medicaid Services?

The Phyllis R Cazares has been assigned the NPI (National Provider Identifier) 1750448783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Phyllis R Cazares's facilities are situated?

The facilities of Phyllis R Cazares are physically located at the following address: P.O. Box 2707, Tifton, GA, 317932707.

What is Phyllis R Cazares's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Phyllis R Cazares is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date was the 1750448783 assigned to Phyllis R Cazares?

The Phyllis R Cazares was issued its 1750448783 on 2007-01-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Phyllis R Cazares, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Phyllis R Cazares, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-09.

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