Amanda Marie Urban is a Clinical in Hines, Illinois. Amanda Marie Urban practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amanda Marie Urban is 1285714535. The last update date is 2015-06-26.
Amanda Marie Urban's current location address is 5000 S. Roosevelt Road, Hines, Illinois. You can contact this provider via phone number 7082022682. The mailing address for Amanda Marie Urban is 5000 S. Roosevelt Road, Hines, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Marie Urban |
|---|---|
| Address | 5000 S. Roosevelt Road, Hines, Illinois |
| Phone Number | 7082022682 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1285714535 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2015-06-26 |
Provider Mailing Address Detail
| Address | 5000 S. Roosevelt Road |
|---|---|
| City | Hines |
| State | Illinois (IL) |
| Post Code | 601419135 |
| Phone Number | 7082022682 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71007034 |
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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 10-digit identification code assigned to Amanda Marie Urban by the Centers for Medicare & Medicaid Services?
The Amanda Marie Urban has been issued the NPI (National Provider Identifier) 1285714535, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Amanda Marie Urban is physically located?
The Amanda Marie Urban is situated at the following address: 5000 S. Roosevelt Road, Hines, IL 601419135.
What is Amanda Marie Urban's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Amanda Marie Urban is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1285714535 assigned to Amanda Marie Urban?
The Amanda Marie Urban was issued its 1285714535 on 2006-10-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Amanda Marie Urban most recently updated or revised?
The information pertaining to Amanda Marie Urban, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-26.
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