Kim Dudley Lassiter in Athens - Clinical
Kim Dudley Lassiter - NPI 1285856724
Kim Dudley Lassiter is a Clinical in Athens, Ohio. Kim Dudley Lassiter practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim Dudley Lassiter is 1285856724. The last update date is 2007-07-08.
Kim Dudley Lassiter's current location address is 6 Dove Drive, Athens, Ohio. You can contact this provider via phone number 7405971251 and fax number 7405934790. The mailing address for Kim Dudley Lassiter is 6 Dove Drive, Athens, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Dudley Lassiter |
|---|---|
| Address | 6 Dove Drive, Athens, Ohio |
| Phone Number | 7405971251 |
| Fax Number | 7405934790 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1285856724 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6 Dove Drive |
|---|---|
| City | Athens |
| State | Ohio (OH) |
| Post Code | 457013366 |
| Phone Number | 7405971251 |
| Fax Number | 7405934790 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4603 |
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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 Kim Dudley Lassiter by the Centers for Medicare & Medicaid Services?
The Kim Dudley Lassiter has been assigned the NPI (National Provider Identifier) 1285856724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kim Dudley Lassiter is physically located?
The Kim Dudley Lassiter is situated at the following address: 6 Dove Drive, Athens, OH 457013366.
What is Kim Dudley Lassiter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kim Dudley Lassiter is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285856724 to Kim Dudley Lassiter?
The Centers for Medicare & Medicaid Services assigned the 1285856724 to Kim Dudley Lassiter on 2007-05-03.
When was the information pertaining to Kim Dudley Lassiter most recently updated or revised?
The details related to Kim Dudley Lassiter, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY