Craig S Nettleton is a Clinical in Moriarty, New Mexico. Craig S Nettleton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig S Nettleton is 1487874889. The last update date is 2007-07-08.
Craig S Nettleton's current location address is Po Box 2000, Moriarty, New Mexico. You can contact this provider via phone number 5058325817 and fax number 5058325918. The mailing address for Craig S Nettleton is Po Box 2000, Moriarty, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig S Nettleton |
|---|---|
| Address | Po Box 2000, Moriarty, New Mexico |
| Phone Number | 5058325817 |
| Fax Number | 5058325918 |
| Sole Proprietor | N |
| Credentials | PE.D. PSYC |
NPI Number Detail
| NPI Number | 1487874889 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 2000 |
|---|---|
| City | Moriarty |
| State | New Mexico (NM) |
| Post Code | 870352000 |
| Phone Number | 5058325817 |
| Fax Number | 5058325918 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 502 |
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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 |
|---|---|---|---|
| Z1246 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Craig S Nettleton by the Centers for Medicare & Medicaid Services?
The Craig S Nettleton has been assigned the NPI (National Provider Identifier) 1487874889 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Craig S Nettleton is physically located?
The Craig S Nettleton is physically situated at the following address: Po Box 2000, Moriarty, NM, 870352000.
What is the area of specialization for Craig S Nettleton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Craig S Nettleton is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did Craig S Nettleton receive its 1487874889 assignment from the Centers for Medicare & Medicaid Services?
The Craig S Nettleton was assigned its 1487874889 on 2007-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Craig S Nettleton most recently updated or refreshed?
The details pertaining to the Craig S Nettleton, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC