Gary W. Elliott is a Clinical in Mishawaka, Indiana. Gary W. Elliott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary W. Elliott is 1518956648. The last update date is 2008-01-10.
Gary W. Elliott's current location address is 314 W Catalpa, Mishawaka, Indiana. You can contact this provider via phone number 5742541700 and fax number 5742542930. The mailing address for Gary W. Elliott is 314 W Catalpa, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary W. Elliott |
|---|---|
| Address | 314 W Catalpa, Mishawaka, Indiana |
| Phone Number | 5742541700 |
| Fax Number | 5742542930 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1518956648 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2008-01-10 |
Provider Mailing Address Detail
| Address | 314 W Catalpa |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 46545 |
| Phone Number | 5742541700 |
| Fax Number | 5742542930 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20010470A |
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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 |
|---|---|---|---|
| 1844001 | IN | OAKLAWN PSYCHIATRIC CENTE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary W. Elliott by the Centers for Medicare & Medicaid Services?
The Gary W. Elliott has been issued the NPI (National Provider Identifier) 1518956648 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gary W. Elliott is located?
The Gary W. Elliott is situated at the following address: 314 W Catalpa, Mishawaka, IN, 46545.
What is Gary W. Elliott's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary W. Elliott is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Gary W. Elliott receive its 1518956648?
The Gary W. Elliott was issued its 1518956648 on 2005-10-20, which is the date when the organization was assigned this unique identifier.
When was the information related to Gary W. Elliott most recently updated or refreshed?
The details pertaining to the Gary W. Elliott, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-10.