Jenny H Conviser is a Clinical in Chicago, Illinois. Jenny H Conviser practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jenny H Conviser is 1720293392. The last update date is 2013-03-21.
Jenny H Conviser's current location address is 737 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3124096800. The mailing address for Jenny H Conviser is 737 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenny H Conviser |
|---|---|
| Address | 737 N Michigan Ave, Chicago, Illinois |
| Phone Number | 3124096800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1720293392 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2013-03-21 |
Provider Mailing Address Detail
| Address | 737 N Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606112615 |
| Phone Number | 3124096800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71.004492 |
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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 |
|---|---|---|---|
| 1607378 | IL | BCBS PROVIDER NUMBER | |
| 71.004492 | IL | STATE LICENSE NO |
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What is the unique 10-digit identification code issued to Jenny H Conviser by the Centers for Medicare & Medicaid Services?
The Jenny H Conviser has been assigned the NPI (National Provider Identifier) 1720293392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jenny H Conviser?
The Jenny H Conviser is situated at 737 N Michigan Ave, in the city of Chicago, state of IL, with the zip code 606112615.
What is Jenny H Conviser's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jenny H Conviser is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Jenny H Conviser receive its 1720293392?
The Jenny H Conviser was issued its 1720293392 on 2007-05-14, which is the date when the organization was assigned this unique identifier.
As of what date were the Jenny H Conviser's details last updated?
The information pertaining to the Jenny H Conviser, including its address, specialty, and other details, was most recently updated on 2013-03-21.
NPI Number: 1720081763
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