Theresa C Risolo is a Clinical in Rockport, Massachusetts. Theresa C Risolo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa C Risolo is 1861403511. The last update date is 2023-10-24.
Theresa C Risolo's current location address is 4 Summit Ave, Rockport, Massachusetts. You can contact this provider via phone number 7089552806. The mailing address for Theresa C Risolo is 4 Summit Ave, Rockport, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa C Risolo |
|---|---|
| Address | 4 Summit Ave, Rockport, Massachusetts |
| Phone Number | 7089552806 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1861403511 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2023-10-24 |
Provider Mailing Address Detail
| Address | 4 Summit Ave |
|---|---|
| City | Rockport |
| State | Massachusetts (MA) |
| Post Code | 19661411 |
| Phone Number | 7089552806 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-003688 |
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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 |
|---|---|---|---|
| IL 071-003688 | IL | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Theresa C Risolo by the Centers for Medicare & Medicaid Services?
The Theresa C Risolo has been assigned the NPI (National Provider Identifier) 1861403511. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Theresa C Risolo is geographically located?
The Theresa C Risolo is physically situated at the following location: 4 Summit Ave, Rockport, MA, 19661411.
What is Theresa C Risolo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theresa C Risolo's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Theresa C Risolo receive the assignment of its 1861403511 from the Centers for Medicare & Medicaid Services?
The Theresa C Risolo was issued its 1861403511 by the Centers for Medicare & Medicaid Services on 2006-08-10.
When was the Theresa C Risolo's information last updated?
The Theresa C Risolo's information was last updated on 2023-10-24.