Dijana Blacic in Bay Shore - Clinical

Dijana Blacic - NPI 1669555389

Dijana Blacic is a Clinical in Bay Shore, New York. Dijana Blacic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dijana Blacic is 1669555389. The last update date is 2007-09-04.

Dijana Blacic's current location address is 160 Howells Rd Ste 2, Bay Shore, New York. You can contact this provider via phone number 6316477885 and fax number 6316477893. The mailing address for Dijana Blacic is 160 Howells Rd Ste 2, Bay Shore, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Dijana Blacic
Address 160 Howells Rd Ste 2, Bay Shore, New York
Phone Number 6316477885
Fax Number 6316477893
Sole Proprietor N
Credentials PSYD

NPI Number Detail

NPI Number 1669555389
Provider Enumeration Date 2006-10-24
Last Updated Date 2007-09-04

Provider Mailing Address Detail

Address 160 Howells Rd Ste 2
City Bay Shore
State New York (NY)
Post Code 117065320
Phone Number 6316477885
Fax Number 6316477893

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 016908-1
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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FAQs about Dijana Blacic

What is the unique 10-digit identification code issued to Dijana Blacic by the Centers for Medicare & Medicaid Services?

The Dijana Blacic has been assigned the NPI (National Provider Identifier) 1669555389 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Dijana Blacic is physically located?

The Dijana Blacic is physically situated at the following address: 160 Howells Rd Ste 2, Bay Shore, NY, 117065320.

What is Dijana Blacic's area of expertise and its corresponding taxonomy classification?

The Dijana Blacic's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1669555389 to Dijana Blacic?

The Dijana Blacic received its 1669555389 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.

When was the information regarding Dijana Blacic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Dijana Blacic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-04.

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