Jeffrey Samelson in Michigan City - Clinical

Jeffrey Samelson - NPI 1801866223

Jeffrey Samelson is a Clinical in Michigan City, Indiana. Jeffrey Samelson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey Samelson is 1801866223. The last update date is 2011-07-29.

Jeffrey Samelson's current location address is 1225 E Coolspring Ave, Michigan City, Indiana. You can contact this provider via phone number 2198732964 and fax number 2198732933. The mailing address for Jeffrey Samelson is 1225 E Coolspring Ave, Michigan City, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Samelson
Address 1225 E Coolspring Ave, Michigan City, Indiana
Phone Number 2198732964
Fax Number 2198732933
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1801866223
Provider Enumeration Date 2006-01-26
Last Updated Date 2011-07-29

Provider Mailing Address Detail

Address 1225 E Coolspring Ave
City Michigan City
State Indiana (IN)
Post Code 463606312
Phone Number 2198732964
Fax Number 2198732933

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 20010303A
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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FAQs about Jeffrey Samelson

What is the unique provider identifier assigned to Jeffrey Samelson?

The Jeffrey Samelson has been issued the NPI (National Provider Identifier) 1801866223 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jeffrey Samelson is located?

The Jeffrey Samelson is situated at the following address: 1225 E Coolspring Ave, Michigan City, IN, 463606312.

What is the area of specialization for Jeffrey Samelson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeffrey Samelson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date was the 1801866223 assigned to Jeffrey Samelson?

The Jeffrey Samelson was issued its 1801866223 on 2006-01-26, 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 Jeffrey Samelson last refreshed?

The information related to the Jeffrey Samelson, including its address, specialty, and other relevant details, was last updated on 2011-07-29.

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