Ilyse O'Desky is a Clinical in Springfield, New Jersey. Ilyse O'Desky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ilyse O'Desky is 1902972680. The last update date is 2007-07-08.
Ilyse O'Desky's current location address is 26 Linden Ave, Springfield, New Jersey. You can contact this provider via phone number 9733765511. The mailing address for Ilyse O'Desky is 26 Linden Ave, Springfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ilyse O'Desky |
|---|---|
| Address | 26 Linden Ave, Springfield, New Jersey |
| Phone Number | 9733765511 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1902972680 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26 Linden Ave |
|---|---|
| City | Springfield |
| State | New Jersey (NJ) |
| Post Code | 70811834 |
| Phone Number | 9733765511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3315 |
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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 Ilyse O'Desky by the Centers for Medicare & Medicaid Services?
The Ilyse O'Desky has been issued the NPI (National Provider Identifier) 1902972680, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ilyse O'Desky located?
The Ilyse O'Desky is located at 26 Linden Ave, Springfield, NJ 70811834.
What is Ilyse O'Desky's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ilyse O'Desky's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Ilyse O'Desky receive its 1902972680?
The Ilyse O'Desky was issued its 1902972680 on 2006-11-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Ilyse O'Desky most recently updated or revised?
The information pertaining to Ilyse O'Desky, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.