Jennifer Boss Mainka in Brighton - Clinical
Jennifer Boss Mainka - NPI 1417111386
Jennifer Boss Mainka is a Clinical in Brighton, Michigan. Jennifer Boss Mainka practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Boss Mainka is 1417111386. The last update date is 2008-07-10.
Jennifer Boss Mainka's current location address is 324 W Main St, Brighton, Michigan. You can contact this provider via phone number 8102276218 and fax number 8102276982. The mailing address for Jennifer Boss Mainka is 324 W Main St, Brighton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Boss Mainka |
|---|---|
| Address | 324 W Main St, Brighton, Michigan |
| Phone Number | 8102276218 |
| Fax Number | 8102276982 |
| Sole Proprietor | Y |
| Credentials | M.S., L.L. |
NPI Number Detail
| NPI Number | 1417111386 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 324 W Main St |
|---|---|
| City | Brighton |
| State | Michigan (MI) |
| Post Code | 481161591 |
| Phone Number | 8102276218 |
| Fax Number | 8102276982 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301013056 |
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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 identifier code issued to Jennifer Boss Mainka by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Boss Mainka has been assigned the NPI (National Provider Identifier) 1417111386. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jennifer Boss Mainka's physical address?
The Jennifer Boss Mainka is physically located at 324 W Main St, in the city of Brighton, MI, with the postal code 481161591.
What is Jennifer Boss Mainka's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer Boss Mainka's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Jennifer Boss Mainka receive its 1417111386 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Boss Mainka was assigned its 1417111386 by the Centers for Medicare & Medicaid Services on 2008-07-10.
As of what date were the details related to Jennifer Boss Mainka most recently updated or revised?
The information pertaining to Jennifer Boss Mainka, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-10.
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