Susan Oleta Mattocks in Miles City - Clinical
Susan Oleta Mattocks - NPI 1417039918
Susan Oleta Mattocks is a Clinical in Miles City, Montana. Susan Oleta Mattocks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Oleta Mattocks is 1417039918. The last update date is 2007-07-08.
Susan Oleta Mattocks's current location address is 2600 Wilson St, Miles City, Montana. You can contact this provider via phone number 4062334219 and fax number 4062332503. The mailing address for Susan Oleta Mattocks is 2600 Wilson St, Miles City, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Oleta Mattocks |
|---|---|
| Address | 2600 Wilson St, Miles City, Montana |
| Phone Number | 4062334219 |
| Fax Number | 4062332503 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1417039918 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2600 Wilson St |
|---|---|
| City | Miles City |
| State | Montana (MT) |
| Post Code | 593015094 |
| Phone Number | 4062334219 |
| Fax Number | 4062332503 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 363 |
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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 Susan Oleta Mattocks by the Centers for Medicare & Medicaid Services?
The Susan Oleta Mattocks has been issued the NPI (National Provider Identifier) 1417039918, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Oleta Mattocks is located?
The Susan Oleta Mattocks is situated at the following address: 2600 Wilson St, Miles City, MT, 593015094.
What is the Susan Oleta Mattocks's specialty and taxonomy code?
The Susan Oleta Mattocks's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Susan Oleta Mattocks receive its 1417039918?
The Susan Oleta Mattocks was issued its 1417039918 on 2006-10-20, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Susan Oleta Mattocks most recently updated or revised?
The details related to Susan Oleta Mattocks, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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