Alexis Provetto is a Clinical in Smithtown, New York. Alexis Provetto practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alexis Provetto is 1356540462. The last update date is 2014-07-30.
Alexis Provetto's current location address is 190 Pond View Ln, Smithtown, New York. You can contact this provider via phone number 6316566411. The mailing address for Alexis Provetto is 190 Pond View Ln, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexis Provetto |
|---|---|
| Address | 190 Pond View Ln, Smithtown, New York |
| Phone Number | 6316566411 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1356540462 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2014-07-30 |
Provider Mailing Address Detail
| Address | 190 Pond View Ln |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 117875200 |
| Phone Number | 6316566411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20477 |
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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 Alexis Provetto by the Centers for Medicare & Medicaid Services?
The Alexis Provetto has been assigned the NPI (National Provider Identifier) 1356540462 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Alexis Provetto is geographically located?
The Alexis Provetto is physically situated at the following location: 190 Pond View Ln, Smithtown, NY, 117875200.
What is Alexis Provetto's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alexis Provetto is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When was the Alexis Provetto's 1356540462 issued?
The Alexis Provetto's 1356540462 was issued on 2007-07-17.
When was the Alexis Provetto's information last updated?
The Alexis Provetto's information was last updated on 2014-07-30.
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