Larry Martin Small is a Clinical in Chicago, Illinois. Larry Martin Small practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry Martin Small is 1689753527. The last update date is 2007-07-08.
Larry Martin Small's current location address is 941 W Gunnison St, Chicago, Illinois. You can contact this provider via phone number 7737934747. The mailing address for Larry Martin Small is 941 W Gunnison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Martin Small |
|---|---|
| Address | 941 W Gunnison St, Chicago, Illinois |
| Phone Number | 7737934747 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1689753527 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 941 W Gunnison St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606404253 |
| Phone Number | 7737934747 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 |
|---|---|---|---|
| 1673669 | IL | BC/BS OF ILLINOIS |
Post Comment/ Review Below
What is the unique identifier code issued to Larry Martin Small by the Centers for Medicare & Medicaid Services (CMS)?
The Larry Martin Small has been assigned the NPI (National Provider Identifier) 1689753527. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Larry Martin Small located?
The Larry Martin Small is located at 941 W Gunnison St, Chicago, IL 606404253.
What is Larry Martin Small's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry Martin Small is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1689753527 assigned to Larry Martin Small?
The Larry Martin Small was issued its 1689753527 on 2006-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Larry Martin Small most recently updated or revised?
The details related to Larry Martin Small, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.