Denella Lazenby Ausborn in Tucker - Clinical
Denella Lazenby Ausborn - NPI 1174676563
Denella Lazenby Ausborn is a Clinical in Tucker, Georgia. Denella Lazenby Ausborn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Denella Lazenby Ausborn is 1174676563. The last update date is 2009-09-02.
Denella Lazenby Ausborn's current location address is 4500 Hugh Howell Rd, Tucker, Georgia. You can contact this provider via phone number 7709384616 and fax number 7709384615. The mailing address for Denella Lazenby Ausborn is 4500 Hugh Howell Rd, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denella Lazenby Ausborn |
|---|---|
| Address | 4500 Hugh Howell Rd, Tucker, Georgia |
| Phone Number | 7709384616 |
| Fax Number | 7709384615 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1174676563 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2009-09-02 |
Provider Mailing Address Detail
| Address | 4500 Hugh Howell Rd |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300844723 |
| Phone Number | 7709384616 |
| Fax Number | 7709384615 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2469 |
|
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 |
|---|---|---|---|
| 1000297 | GA | AMERIGROUP | |
| 2678878 | GA | MAGELLAN | |
| 33-1078488 | GA | NORTHLAKE MEDICAL RESEARC | |
| 6134630 | GA | UNITED BEHAVIORAL HEALTH | |
| 279069000 | GA | MAGELLAN | |
| 00891151A | GA | -- | |
| 2441599995-02 | GA | MAGELLAN | |
| 2441599995-02 | GA | UNITED BEHAVIORAL HEALTH | |
| 1346 | GA | BLUECROSS BLUESHIELD OF G | |
| 7066282 | GA | AETNA, EL PASO |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Denella Lazenby Ausborn by the Centers for Medicare & Medicaid Services?
The Denella Lazenby Ausborn has been assigned the NPI (National Provider Identifier) 1174676563 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Denella Lazenby Ausborn located?
The Denella Lazenby Ausborn is located at 4500 Hugh Howell Rd, Tucker, GA 300844723.
What is Denella Lazenby Ausborn's area of expertise and its corresponding taxonomy classification?
The Denella Lazenby Ausborn's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1174676563 to Denella Lazenby Ausborn?
The Centers for Medicare & Medicaid Services assigned the 1174676563 to Denella Lazenby Ausborn on 2007-01-19.
When was the information related to Denella Lazenby Ausborn most recently updated or refreshed?
The details pertaining to the Denella Lazenby Ausborn, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-02.