Larry George Wooley in Warsaw - Clinical
Larry George Wooley - NPI 1801879234
Larry George Wooley is a Clinical in Warsaw, Indiana. Larry George Wooley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry George Wooley is 1801879234. The last update date is 2011-04-20.
Larry George Wooley's current location address is 850 N Harrison St, Warsaw, Indiana. You can contact this provider via phone number 5742677169 and fax number 5742682377. The mailing address for Larry George Wooley is 850 N Harrison St, Warsaw, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry George Wooley |
|---|---|
| Address | 850 N Harrison St, Warsaw, Indiana |
| Phone Number | 5742677169 |
| Fax Number | 5742682377 |
| Sole Proprietor | N |
| Credentials | PSYD, HSPP |
NPI Number Detail
| NPI Number | 1801879234 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2011-04-20 |
Provider Mailing Address Detail
| Address | 850 N Harrison St |
|---|---|
| City | Warsaw |
| State | Indiana (IN) |
| Post Code | 465803163 |
| Phone Number | 5742677169 |
| Fax Number | 5742682377 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20041608A |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200307900A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry George Wooley by the Centers for Medicare & Medicaid Services?
The Larry George Wooley has been assigned the NPI (National Provider Identifier) 1801879234. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Larry George Wooley's physical address?
The Larry George Wooley is physically located at 850 N Harrison St, in the city of Warsaw, IN, with the postal code 465803163.
What is Larry George Wooley's area of expertise and its corresponding taxonomy classification?
The Larry George Wooley's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did Larry George Wooley receive its 1801879234 assignment?
The Larry George Wooley was assigned its 1801879234 on 2005-11-21, which is the date when this unique identifier was issued to the organization.
When was the information related to Larry George Wooley most recently updated or refreshed?
The details pertaining to the Larry George Wooley, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-04-20.