Marisa Ann Schongalla in Canton - Clinical
Marisa Ann Schongalla - NPI 1790717395
Marisa Ann Schongalla is a Clinical in Canton, Michigan. Marisa Ann Schongalla practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marisa Ann Schongalla is 1790717395. The last update date is 2016-05-17.
Marisa Ann Schongalla's current location address is 5958 N Canton Center Rd Ste 900, Canton, Michigan. You can contact this provider via phone number 7347517042 and fax number 7347371205. The mailing address for Marisa Ann Schongalla is 5958 N Canton Center Rd Ste 900, Canton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marisa Ann Schongalla |
|---|---|
| Address | 5958 N Canton Center Rd Ste 900, Canton, Michigan |
| Phone Number | 7347517042 |
| Fax Number | 7347371205 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1790717395 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2016-05-17 |
Provider Mailing Address Detail
| Address | 5958 N Canton Center Rd Ste 900 |
|---|---|
| City | Canton |
| State | Michigan (MI) |
| Post Code | 481872740 |
| Phone Number | 7347517042 |
| Fax Number | 7347371205 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301012822 |
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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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Post Comment/ Review Below
What is the Marisa Ann Schongalla's 1790717395?
The Marisa Ann Schongalla's NPI (National Provider Identifier) Number is 1790717395. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Marisa Ann Schongalla's facilities are geographically located?
The facilities of Marisa Ann Schongalla are physically situated at the following location: 5958 N Canton Center Rd Ste 900, Canton, MI, 481872740.
What is Marisa Ann Schongalla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marisa Ann Schongalla is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Marisa Ann Schongalla receive the assignment of its 1790717395 from the Centers for Medicare & Medicaid Services?
The Marisa Ann Schongalla was issued its 1790717395 by the Centers for Medicare & Medicaid Services on 2006-07-06.
As of what date were the details related to Marisa Ann Schongalla most recently updated or revised?
The information pertaining to Marisa Ann Schongalla, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-17.