Jessica Miranda Lieske in Kansas City - Clinical
Jessica Miranda Lieske - NPI 1639334410
Jessica Miranda Lieske is a Clinical in Kansas City, Kansas. Jessica Miranda Lieske practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Miranda Lieske is 1639334410. The last update date is 2008-07-22.
Jessica Miranda Lieske's current location address is 7840 Washington Ave, Kansas City, Kansas. You can contact this provider via phone number 9133284600. The mailing address for Jessica Miranda Lieske is 7840 Washington Ave, Kansas City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Miranda Lieske |
|---|---|
| Address | 7840 Washington Ave, Kansas City, Kansas |
| Phone Number | 9133284600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | TLMLP |
NPI Number Detail
| NPI Number | 1639334410 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 7840 Washington Ave |
|---|---|
| City | Kansas City |
| State | Kansas (KS) |
| Post Code | 661122152 |
| Phone Number | 9133284600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1193 |
|
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 |
|---|---|---|---|
| 100098080C | KS | SED WAIVER | |
| 100098080A | KS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jessica Miranda Lieske by the Centers for Medicare & Medicaid Services?
The Jessica Miranda Lieske has been issued the NPI (National Provider Identifier) 1639334410. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jessica Miranda Lieske?
The Jessica Miranda Lieske is physically situated at 7840 Washington Ave, in the city of Kansas City, state of KS, with the postal code 661122152.
What is the area of specialization for Jessica Miranda Lieske, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jessica Miranda Lieske is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Jessica Miranda Lieske receive its 1639334410 assignment?
The Jessica Miranda Lieske was assigned its 1639334410 on 2008-07-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jessica Miranda Lieske last refreshed?
The information related to the Jessica Miranda Lieske, including its address, specialty, and other relevant details, was last updated on 2008-07-22.