Kayla Jan Conrad is a Clinical in Ann Arbor, Michigan. Kayla Jan Conrad practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kayla Jan Conrad is 1134212350. The last update date is 2013-05-16.
Kayla Jan Conrad's current location address is 2215 Fuller Rd # 116a, Ann Arbor, Michigan. You can contact this provider via phone number 2486466659 and fax number 2486428645. The mailing address for Kayla Jan Conrad is 2215 Fuller Rd # 116a, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kayla Jan Conrad |
|---|---|
| Address | 2215 Fuller Rd # 116a, Ann Arbor, Michigan |
| Phone Number | 2486466659 |
| Fax Number | 2486428645 |
| Sole Proprietor | N |
| Credentials | PHD LMSW |
NPI Number Detail
| NPI Number | 1134212350 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2013-05-16 |
Provider Mailing Address Detail
| Address | 2215 Fuller Rd # 116a |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481052303 |
| Phone Number | 2486466659 |
| Fax Number | 2486428645 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | L973160 |
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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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What is the unique 10-digit identifier code issued to Kayla Jan Conrad by the Centers for Medicare & Medicaid Services?
The Kayla Jan Conrad has been assigned the NPI (National Provider Identifier) 1134212350 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kayla Jan Conrad is geographically located?
The Kayla Jan Conrad is physically situated at the following location: 2215 Fuller Rd # 116A, Ann Arbor, MI, 481052303.
What is the Kayla Jan Conrad's area of specialization and corresponding taxonomy classification?
The Kayla Jan Conrad's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1134212350 assigned to Kayla Jan Conrad?
The Kayla Jan Conrad was issued its 1134212350 on 2006-10-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kayla Jan Conrad most recently updated or revised?
The information pertaining to Kayla Jan Conrad, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-16.