Mary K Summers is a Clinical in Crown Point, Indiana. Mary K Summers practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary K Summers is 1619925054. The last update date is 2007-07-08.
Mary K Summers's current location address is 1819 Forest Ln, Crown Point, Indiana. You can contact this provider via phone number 2199882903. The mailing address for Mary K Summers is 1819 Forest Ln, Crown Point, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary K Summers |
|---|---|
| Address | 1819 Forest Ln, Crown Point, Indiana |
| Phone Number | 2199882903 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1619925054 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1819 Forest Ln |
|---|---|
| City | Crown Point |
| State | Indiana (IN) |
| Post Code | 463079319 |
| Phone Number | 2199882903 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20040365 |
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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 |
|---|---|---|---|
| I011554 | IN | CHAMPUS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary K Summers?
The Mary K Summers has been issued the NPI (National Provider Identifier) 1619925054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary K Summers is geographically located?
The Mary K Summers is physically situated at the following location: 1819 Forest Ln, Crown Point, IN, 463079319.
What is Mary K Summers's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary K Summers is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did Mary K Summers receive its 1619925054 assignment?
The Mary K Summers was assigned its 1619925054 on 2006-05-05, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mary K Summers most recently updated?
The details pertaining to the Mary K Summers, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.