Lyssa Marie Israel in Gastonia - Clinical
Lyssa Marie Israel - NPI 1184796237
Lyssa Marie Israel is a Clinical in Gastonia, North Carolina. Lyssa Marie Israel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lyssa Marie Israel is 1184796237. The last update date is 2012-08-28.
Lyssa Marie Israel's current location address is 549 Cox Rd, Gastonia, North Carolina. You can contact this provider via phone number 7048523778 and fax number 7048538751. The mailing address for Lyssa Marie Israel is 549 Cox Rd, Gastonia, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyssa Marie Israel |
|---|---|
| Address | 549 Cox Rd, Gastonia, North Carolina |
| Phone Number | 7048523778 |
| Fax Number | 7048538751 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1184796237 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2012-08-28 |
Provider Mailing Address Detail
| Address | 549 Cox Rd |
|---|---|
| City | Gastonia |
| State | North Carolina (NC) |
| Post Code | 280540628 |
| Phone Number | 7048523778 |
| Fax Number | 7048538751 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4244 |
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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 Lyssa Marie Israel by the Centers for Medicare & Medicaid Services?
The Lyssa Marie Israel has been issued the NPI (National Provider Identifier) 1184796237, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lyssa Marie Israel's physical address?
The Lyssa Marie Israel is physically located at 549 Cox Rd, in the city of Gastonia, NC, with the postal code 280540628.
What is the Lyssa Marie Israel's specialty and taxonomy code?
The Lyssa Marie Israel's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Lyssa Marie Israel receive its 1184796237?
The Lyssa Marie Israel was issued its 1184796237 on 2006-11-14, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Lyssa Marie Israel most recently updated or revised?
The details related to Lyssa Marie Israel, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-28.