Eileen Sue Chaffee is a Clinical in Portage, Michigan. Eileen Sue Chaffee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eileen Sue Chaffee is 1336252493. The last update date is 2022-07-12.
Eileen Sue Chaffee's current location address is 4700 Briarhill Dr, Portage, Michigan. You can contact this provider via phone number 2693722636 and fax number 2693720390. The mailing address for Eileen Sue Chaffee is 4700 Briarhill Dr, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen Sue Chaffee |
|---|---|
| Address | 4700 Briarhill Dr, Portage, Michigan |
| Phone Number | 2693722636 |
| Fax Number | 2693720390 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1336252493 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2022-07-12 |
Provider Mailing Address Detail
| Address | 4700 Briarhill Dr |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490248130 |
| Phone Number | 2693722636 |
| Fax Number | 2693720390 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301007963 |
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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 identification code assigned to Eileen Sue Chaffee by the Centers for Medicare & Medicaid Services?
The Eileen Sue Chaffee has been issued the NPI (National Provider Identifier) 1336252493, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eileen Sue Chaffee's physical address?
The Eileen Sue Chaffee is physically located at 4700 Briarhill Dr, in the city of Portage, MI, with the postal code 490248130.
What is Eileen Sue Chaffee's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eileen Sue Chaffee's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When was the Eileen Sue Chaffee's 1336252493 issued?
The Eileen Sue Chaffee's 1336252493 was issued on 2006-08-15.
When was the information regarding Eileen Sue Chaffee, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eileen Sue Chaffee, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-12.
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