Elizabeth Blair Wyatt in Mentor - Clinical
Elizabeth Blair Wyatt - NPI 1285744276
Elizabeth Blair Wyatt is a Clinical in Mentor, Ohio. Elizabeth Blair Wyatt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Blair Wyatt is 1285744276. The last update date is 2007-07-08.
Elizabeth Blair Wyatt's current location address is 8039 Broadmoor Rd, Mentor, Ohio. You can contact this provider via phone number 4402691500 and fax number 4402698545. The mailing address for Elizabeth Blair Wyatt is 8039 Broadmoor Rd, Mentor, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elizabeth Blair Wyatt |
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Address | 8039 Broadmoor Rd, Mentor, Ohio |
Phone Number | 4402691500 |
Fax Number | 4402698545 |
Sole Proprietor | N |
Credentials | PHD |
NPI Number Detail
NPI Number | 1285744276 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 8039 Broadmoor Rd |
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City | Mentor |
State | Ohio (OH) |
Post Code | 44060 |
Phone Number | 4402691500 |
Fax Number | 4402698545 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 4508 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2065732 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elizabeth Blair Wyatt?
The Elizabeth Blair Wyatt has been issued the NPI (National Provider Identifier) 1285744276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Elizabeth Blair Wyatt is located?
The Elizabeth Blair Wyatt is situated at the following address: 8039 Broadmoor Rd, Mentor, OH, 44060.
What is Elizabeth Blair Wyatt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elizabeth Blair Wyatt's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Elizabeth Blair Wyatt receive its 1285744276 assignment from the Centers for Medicare & Medicaid Services?
The Elizabeth Blair Wyatt was assigned its 1285744276 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Elizabeth Blair Wyatt most recently updated?
The details pertaining to the Elizabeth Blair Wyatt, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.