Gary Joseph Fusciardi in Shelby Township - Clinical
Gary Joseph Fusciardi - NPI 1245299361
Gary Joseph Fusciardi is a Clinical in Shelby Township, Michigan. Gary Joseph Fusciardi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Joseph Fusciardi is 1245299361. The last update date is 2007-07-08.
Gary Joseph Fusciardi's current location address is 52480 Shelby Rd, Shelby Township, Michigan. You can contact this provider via phone number 5863230696 and fax number 5867318393. The mailing address for Gary Joseph Fusciardi is 52480 Shelby Rd, Shelby Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Joseph Fusciardi |
|---|---|
| Address | 52480 Shelby Rd, Shelby Township, Michigan |
| Phone Number | 5863230696 |
| Fax Number | 5867318393 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1245299361 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 52480 Shelby Rd |
|---|---|
| City | Shelby Township |
| State | Michigan (MI) |
| Post Code | 483163163 |
| Phone Number | 5863230696 |
| Fax Number | 5867318393 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301005314 |
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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 |
|---|---|---|---|
| 5088220 | MI | AETNA | |
| 42893 | MI | VALUE OPTIONS |
Post Comment/ Review Below
What is the Gary Joseph Fusciardi's unique identification number?
The Gary Joseph Fusciardi has been assigned the NPI (National Provider Identifier) Number 1245299361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Gary Joseph Fusciardi is located?
The Gary Joseph Fusciardi is situated at the following address: 52480 Shelby Rd, Shelby Township, MI, 483163163.
What is Gary Joseph Fusciardi's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Joseph Fusciardi is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date was the 1245299361 assigned to Gary Joseph Fusciardi?
The Gary Joseph Fusciardi was issued its 1245299361 on 2006-03-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Gary Joseph Fusciardi, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Joseph Fusciardi, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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