Michelle Marie Micsko in Lake Quivira - Clinical
Michelle Marie Micsko - NPI 1770688228
Michelle Marie Micsko is a Clinical in Lake Quivira, Kansas. Michelle Marie Micsko practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle Marie Micsko is 1770688228. The last update date is 2021-11-23.
Michelle Marie Micsko's current location address is 515 Hillcrest Rd E, Lake Quivira, Kansas. You can contact this provider via phone number 9136313800 and fax number 9139487317. The mailing address for Michelle Marie Micsko is 515 Hillcrest Rd E, Lake Quivira, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Marie Micsko |
|---|---|
| Address | 515 Hillcrest Rd E, Lake Quivira, Kansas |
| Phone Number | 9136313800 |
| Fax Number | 9139487317 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1770688228 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2021-11-23 |
Provider Mailing Address Detail
| Address | 515 Hillcrest Rd E |
|---|---|
| City | Lake Quivira |
| State | Kansas (KS) |
| Post Code | 662178782 |
| Phone Number | 9136313800 |
| Fax Number | 9139487317 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY01595 |
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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 |
|---|---|---|---|
| 1255098349 | NPI |
Post Comment/ Review Below
What is the Michelle Marie Micsko's 1770688228?
The Michelle Marie Micsko's NPI (National Provider Identifier) Number is 1770688228. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michelle Marie Micsko's physical address?
The Michelle Marie Micsko is physically located at 515 Hillcrest Rd E, in the city of Lake Quivira, KS, with the postal code 662178782.
What is the Michelle Marie Micsko's area of specialization and corresponding taxonomy classification?
The Michelle Marie Micsko's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did Michelle Marie Micsko receive its 1770688228 assignment?
The Michelle Marie Micsko was assigned its 1770688228 on 2006-09-13, which is the date when this unique identifier was issued to the organization.
When was the information regarding Michelle Marie Micsko, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michelle Marie Micsko, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-23.