Carol Ann Self in Mandeville - Clinical

Carol Ann Self - NPI 1699804658

Carol Ann Self is a Clinical in Mandeville, Louisiana. Carol Ann Self practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol Ann Self is 1699804658. The last update date is 2007-07-08.

Carol Ann Self's current location address is Po Box 975, Mandeville, Louisiana. You can contact this provider via phone number 9856245466 and fax number 9856249839. The mailing address for Carol Ann Self is Po Box 975, Mandeville, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Ann Self
Address Po Box 975, Mandeville, Louisiana
Phone Number 9856245466
Fax Number 9856249839
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1699804658
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 975
City Mandeville
State Louisiana (LA)
Post Code 704700975
Phone Number 9856245466
Fax Number 9856249839

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 620
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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FAQs about Carol Ann Self

What is the unique identification code assigned to Carol Ann Self by the Centers for Medicare & Medicaid Services?

The Carol Ann Self has been issued the NPI (National Provider Identifier) 1699804658. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Carol Ann Self is physically located?

The Carol Ann Self is situated at the following address: Po Box 975, Mandeville, LA 704700975.

What is Carol Ann Self's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carol Ann Self's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date was the 1699804658 assigned to Carol Ann Self?

The Carol Ann Self was issued its 1699804658 on 2007-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Carol Ann Self, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carol Ann Self, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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