Lisa Marie Wooley is a Clinical in Warsaw, Indiana. Lisa Marie Wooley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Marie Wooley is 1891785192. The last update date is 2010-12-20.
Lisa Marie 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 Lisa Marie Wooley is 850 N Harrison St, Warsaw, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie 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 | 1891785192 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2010-12-20 |
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 | 20041473A |
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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 |
|---|---|---|---|
| 200235550A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Marie Wooley by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa Marie Wooley has been assigned the NPI (National Provider Identifier) 1891785192. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Lisa Marie Wooley is physically located?
The Lisa Marie Wooley is situated at the following address: 850 N Harrison St, Warsaw, IN 465803163.
What is Lisa Marie Wooley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Marie Wooley is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891785192 to Lisa Marie Wooley?
The Centers for Medicare & Medicaid Services originally issued the 1891785192 to Lisa Marie Wooley on 2005-10-27.
As of what date were the details pertaining to Lisa Marie Wooley last refreshed?
The information related to the Lisa Marie Wooley, including its address, specialty, and other relevant details, was last updated on 2010-12-20.