Juanita Shell is a Clinical in Bronx, New York. Juanita Shell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Juanita Shell is 1770645558. The last update date is 2007-07-08.
Juanita Shell's current location address is 906 Gerard Ave, Bronx, New York. You can contact this provider via phone number 7186817562. The mailing address for Juanita Shell is 906 Gerard Ave, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juanita Shell |
|---|---|
| Address | 906 Gerard Ave, Bronx, New York |
| Phone Number | 7186817562 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1770645558 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 906 Gerard Ave |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104529404 |
| Phone Number | 7186817562 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 16148 |
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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 issued to Juanita Shell by the Centers for Medicare & Medicaid Services?
The Juanita Shell has been assigned the NPI (National Provider Identifier) 1770645558 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 physical location address of Juanita Shell?
The Juanita Shell is physically situated at 906 Gerard Ave, in the city of Bronx, state of NY, with the postal code 104529404.
What is Juanita Shell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Juanita Shell is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date was the 1770645558 assigned to Juanita Shell?
The Juanita Shell was issued its 1770645558 on 2006-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Juanita Shell most recently updated or refreshed?
The details pertaining to the Juanita Shell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.