Jamie Rae Champion in Meridian - Clinical
Jamie Rae Champion - NPI 1952319394
Jamie Rae Champion is a Clinical in Meridian, Idaho. Jamie Rae Champion practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jamie Rae Champion is 1952319394. The last update date is 2007-07-09.
Jamie Rae Champion's current location address is 2365 E Gala St, Meridian, Idaho. You can contact this provider via phone number 2082881920 and fax number 2082882844. The mailing address for Jamie Rae Champion is 2365 E Gala St, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie Rae Champion |
|---|---|
| Address | 2365 E Gala St, Meridian, Idaho |
| Phone Number | 2082881920 |
| Fax Number | 2082882844 |
| Sole Proprietor | Y |
| Credentials | P.H.D. |
NPI Number Detail
| NPI Number | 1952319394 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2365 E Gala St |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836424881 |
| Phone Number | 2082881920 |
| Fax Number | 2082882844 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 373 |
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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 unique identifier code issued to Jamie Rae Champion by the Centers for Medicare & Medicaid Services?
The Jamie Rae Champion has been assigned the NPI (National Provider Identifier) 1952319394. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jamie Rae Champion?
The Jamie Rae Champion is situated at 2365 E Gala St, in the city of Meridian, state of ID, with the zip code 836424881.
What is Jamie Rae Champion's area of expertise and its corresponding taxonomy classification?
The Jamie Rae Champion'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 originally issue the 1952319394 to Jamie Rae Champion?
The Centers for Medicare & Medicaid Services originally issued the 1952319394 to Jamie Rae Champion on 2006-08-03.
As of what date were the details pertaining to Jamie Rae Champion last refreshed?
The information related to the Jamie Rae Champion, including its address, specialty, and other relevant details, was last updated on 2007-07-09.