Shana Mari Cacioppo in Wyandotte - Clinical
Shana Mari Cacioppo - NPI 1619137007
Shana Mari Cacioppo is a Clinical in Wyandotte, Michigan. Shana Mari Cacioppo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shana Mari Cacioppo is 1619137007. The last update date is 2012-02-28.
Shana Mari Cacioppo's current location address is 3401 19th St, Wyandotte, Michigan. You can contact this provider via phone number 7343209562. The mailing address for Shana Mari Cacioppo is 3401 19th St, Wyandotte, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shana Mari Cacioppo |
|---|---|
| Address | 3401 19th St, Wyandotte, Michigan |
| Phone Number | 7343209562 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY. D, LL |
NPI Number Detail
| NPI Number | 1619137007 |
|---|---|
| Provider Enumeration Date | 2008-06-10 |
| Last Updated Date | 2012-02-28 |
Provider Mailing Address Detail
| Address | 3401 19th St |
|---|---|
| City | Wyandotte |
| State | Michigan (MI) |
| Post Code | 481926029 |
| Phone Number | 7343209562 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301013864 |
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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 Shana Mari Cacioppo's 1619137007?
The Shana Mari Cacioppo's NPI (National Provider Identifier) Number is 1619137007. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shana Mari Cacioppo is physically located?
The Shana Mari Cacioppo is physically situated at the following address: 3401 19Th St, Wyandotte, MI, 481926029.
What is the Shana Mari Cacioppo's area of specialization and corresponding taxonomy classification?
The Shana Mari Cacioppo's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619137007 to Shana Mari Cacioppo?
The Centers for Medicare & Medicaid Services originally issued the 1619137007 to Shana Mari Cacioppo on 2008-06-10.
As of what date were the details related to Shana Mari Cacioppo most recently updated or revised?
The information pertaining to Shana Mari Cacioppo, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-28.