Janine Gauthier Mullady in Lake Forest - Clinical
Janine Gauthier Mullady - NPI 1649495011
Janine Gauthier Mullady is a Clinical in Lake Forest, Illinois. Janine Gauthier Mullady practices all healthcare services and medical treatments related to Clinical. The NPI Number for Janine Gauthier Mullady is 1649495011. The last update date is 2019-08-07.
Janine Gauthier Mullady's current location address is 1599 W Old Mill Rd, Lake Forest, Illinois. You can contact this provider via phone number 3122854729. The mailing address for Janine Gauthier Mullady is 1599 W Old Mill Rd, Lake Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janine Gauthier Mullady |
|---|---|
| Address | 1599 W Old Mill Rd, Lake Forest, Illinois |
| Phone Number | 3122854729 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1649495011 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2019-08-07 |
Provider Mailing Address Detail
| Address | 1599 W Old Mill Rd |
|---|---|
| City | Lake Forest |
| State | Illinois (IL) |
| Post Code | 600453721 |
| Phone Number | 3122854729 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006689 |
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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 provider identifier assigned to Janine Gauthier Mullady?
The Janine Gauthier Mullady has been issued the NPI (National Provider Identifier) 1649495011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Janine Gauthier Mullady's physical address?
The Janine Gauthier Mullady is physically located at 1599 W Old Mill Rd, in the city of Lake Forest, IL, with the postal code 600453721.
What is Janine Gauthier Mullady's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Janine Gauthier Mullady is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1649495011 assigned to Janine Gauthier Mullady?
The Janine Gauthier Mullady was issued its 1649495011 on 2007-04-13, 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 pertaining to Janine Gauthier Mullady last refreshed?
The information related to the Janine Gauthier Mullady, including its address, specialty, and other relevant details, was last updated on 2019-08-07.