Rachel Sophia Port in Evanston - Clinical
Rachel Sophia Port - NPI 1427204932
Rachel Sophia Port is a Clinical in Evanston, Illinois. Rachel Sophia Port practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rachel Sophia Port is 1427204932. The last update date is 2014-02-28.
Rachel Sophia Port's current location address is 618 Library Place, Evanston, Illinois. You can contact this provider via phone number 8477334300. The mailing address for Rachel Sophia Port is 618 Library Place, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rachel Sophia Port |
|---|---|
| Address | 618 Library Place, Evanston, Illinois |
| Phone Number | 8477334300 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1427204932 |
|---|---|
| Provider Enumeration Date | 2008-08-15 |
| Last Updated Date | 2014-02-28 |
Provider Mailing Address Detail
| Address | 618 Library Place |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 60201 |
| Phone Number | 8477334300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71.008035 |
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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 identification code assigned to Rachel Sophia Port by the Centers for Medicare & Medicaid Services?
The Rachel Sophia Port has been issued the NPI (National Provider Identifier) 1427204932. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Rachel Sophia Port is physically located?
The Rachel Sophia Port is physically situated at the following address: 618 Library Place, Evanston, IL, 60201.
What is Rachel Sophia Port's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rachel Sophia Port's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Rachel Sophia Port receive its 1427204932 assignment from the Centers for Medicare & Medicaid Services?
The Rachel Sophia Port was assigned its 1427204932 by the Centers for Medicare & Medicaid Services on 2008-08-15.
As of what date were the details pertaining to Rachel Sophia Port last refreshed?
The information related to the Rachel Sophia Port, including its address, specialty, and other relevant details, was last updated on 2014-02-28.