Rosalie Etherington in Jamestown - Clinical
Rosalie Etherington - NPI 1770629164
Rosalie Etherington is a Clinical in Jamestown, North Dakota. Rosalie Etherington practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rosalie Etherington is 1770629164. The last update date is 2023-03-27.
Rosalie Etherington's current location address is 1712 Elmwood Pl, Jamestown, North Dakota. You can contact this provider via phone number 7012692979. The mailing address for Rosalie Etherington is 1712 Elmwood Pl, Jamestown, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rosalie Etherington |
|---|---|
| Address | 1712 Elmwood Pl, Jamestown, North Dakota |
| Phone Number | 7012692979 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1770629164 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2023-03-27 |
Provider Mailing Address Detail
| Address | 1712 Elmwood Pl |
|---|---|
| City | Jamestown |
| State | North Dakota (ND) |
| Post Code | 584015748 |
| Phone Number | 7012692979 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 268 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1460283 | ND | -- |
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What is the unique 10-digit identifier code issued to Rosalie Etherington by the Centers for Medicare & Medicaid Services?
The Rosalie Etherington has been assigned the NPI (National Provider Identifier) 1770629164 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Rosalie Etherington's physical address?
The Rosalie Etherington is physically located at 1712 Elmwood Pl, in the city of Jamestown, ND, with the postal code 584015748.
What is the Rosalie Etherington's area of specialization and corresponding taxonomy classification?
The Rosalie Etherington's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Rosalie Etherington receive its 1770629164 assignment from the Centers for Medicare & Medicaid Services?
The Rosalie Etherington was assigned its 1770629164 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information pertaining to Rosalie Etherington most recently updated or revised?
The details related to Rosalie Etherington, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-27.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY