Mark Ellis Jaruzel in Southfield - Clinical
Mark Ellis Jaruzel - NPI 1588755672
Mark Ellis Jaruzel is a Clinical in Southfield, Michigan. Mark Ellis Jaruzel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Ellis Jaruzel is 1588755672. The last update date is 2023-12-05.
Mark Ellis Jaruzel's current location address is 26901 Beaumont Blvd Ste 3d, Southfield, Michigan. You can contact this provider via phone number 9475221865. The mailing address for Mark Ellis Jaruzel is 26901 Beaumont Blvd Ste 3d, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Ellis Jaruzel |
|---|---|
| Address | 26901 Beaumont Blvd Ste 3d, Southfield, Michigan |
| Phone Number | 9475221865 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1588755672 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2023-12-05 |
Provider Mailing Address Detail
| Address | 26901 Beaumont Blvd Ste 3d |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480333849 |
| Phone Number | 9475221865 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301017838 |
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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 assigned to Mark Ellis Jaruzel by the Centers for Medicare & Medicaid Services?
The Mark Ellis Jaruzel has been issued the NPI (National Provider Identifier) 1588755672 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mark Ellis Jaruzel's facilities are geographically located?
The facilities of Mark Ellis Jaruzel are physically situated at the following location: 26901 Beaumont Blvd Ste 3D, Southfield, MI, 480333849.
What is Mark Ellis Jaruzel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Ellis Jaruzel is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588755672 to Mark Ellis Jaruzel?
The Mark Ellis Jaruzel received its 1588755672 assignment from the Centers for Medicare & Medicaid Services on 2006-09-27.
As of what date were the details pertaining to Mark Ellis Jaruzel last refreshed?
The information related to the Mark Ellis Jaruzel, including its address, specialty, and other relevant details, was last updated on 2023-12-05.