Willis T Van Dyne is a Clinical in Troy, New York. Willis T Van Dyne practices all healthcare services and medical treatments related to Clinical. The NPI Number for Willis T Van Dyne is 1023123767. The last update date is 2008-04-15.
Willis T Van Dyne's current location address is 41 2nd St, Troy, New York. You can contact this provider via phone number 5182720506. The mailing address for Willis T Van Dyne is 41 2nd St, Troy, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willis T Van Dyne |
|---|---|
| Address | 41 2nd St, Troy, New York |
| Phone Number | 5182720506 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1023123767 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 41 2nd St |
|---|---|
| City | Troy |
| State | New York (NY) |
| Post Code | 121803928 |
| Phone Number | 5182720506 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6790 |
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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 Willis T Van Dyne by the Centers for Medicare & Medicaid Services?
The Willis T Van Dyne has been issued the NPI (National Provider Identifier) 1023123767, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Willis T Van Dyne's physical address?
The Willis T Van Dyne is physically located at 41 2Nd St, in the city of Troy, NY, with the postal code 121803928.
What is the Willis T Van Dyne's specialty and taxonomy code?
The Willis T Van Dyne's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1023123767 assigned to Willis T Van Dyne?
The Willis T Van Dyne was issued its 1023123767 on 2006-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Willis T Van Dyne's information last updated?
The Willis T Van Dyne's information was last updated on 2008-04-15.