Alisa Matteson Mundt in Chicago - Clinical
Alisa Matteson Mundt - NPI 1598967705
Alisa Matteson Mundt is a Clinical in Chicago, Illinois. Alisa Matteson Mundt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alisa Matteson Mundt is 1598967705. The last update date is 2011-03-31.
Alisa Matteson Mundt's current location address is 30 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3125408977. The mailing address for Alisa Matteson Mundt is 30 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alisa Matteson Mundt |
|---|---|
| Address | 30 N Michigan Ave, Chicago, Illinois |
| Phone Number | 3125408977 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1598967705 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2011-03-31 |
Provider Mailing Address Detail
| Address | 30 N Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606023463 |
| Phone Number | 3125408977 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71.007178 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Alisa Matteson Mundt by the Centers for Medicare & Medicaid Services?
The Alisa Matteson Mundt has been assigned the NPI (National Provider Identifier) 1598967705 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Alisa Matteson Mundt is geographically located?
The Alisa Matteson Mundt is physically situated at the following location: 30 N Michigan Ave, Chicago, IL, 606023463.
What is Alisa Matteson Mundt's area of expertise and its corresponding taxonomy classification?
The Alisa Matteson Mundt'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 issue the 1598967705 to Alisa Matteson Mundt?
The Alisa Matteson Mundt received its 1598967705 assignment from the Centers for Medicare & Medicaid Services on 2007-06-01.
As of what date was the information pertaining to Alisa Matteson Mundt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alisa Matteson Mundt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-31.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN