Jane E Iannuzzelli is a Clinical in Media, Pennsylvania. Jane E Iannuzzelli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jane E Iannuzzelli is 1093851024. The last update date is 2011-04-29.
Jane E Iannuzzelli's current location address is 331 W State St, Media, Pennsylvania. You can contact this provider via phone number 6105650515 and fax number 6105664141. The mailing address for Jane E Iannuzzelli is 331 W State St, Media, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane E Iannuzzelli |
|---|---|
| Address | 331 W State St, Media, Pennsylvania |
| Phone Number | 6105650515 |
| Fax Number | 6105664141 |
| Sole Proprietor | Y |
| Credentials | MA., MED |
NPI Number Detail
| NPI Number | 1093851024 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2011-04-29 |
Provider Mailing Address Detail
| Address | 331 W State St |
|---|---|
| City | Media |
| State | Pennsylvania (PA) |
| Post Code | 190632615 |
| Phone Number | 6105650515 |
| Fax Number | 6105664141 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS005034-L |
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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 |
|---|---|---|---|
| 103TC0700X | PA | CLINICAL PSYCHOLOGY |
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What is the unique identification code assigned to Jane E Iannuzzelli by the Centers for Medicare & Medicaid Services?
The Jane E Iannuzzelli has been issued the NPI (National Provider Identifier) 1093851024. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jane E Iannuzzelli located?
The Jane E Iannuzzelli is located at 331 W State St, Media, PA 190632615.
What is the Jane E Iannuzzelli's specialty and taxonomy code?
The Jane E Iannuzzelli's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093851024 to Jane E Iannuzzelli?
The Centers for Medicare & Medicaid Services originally issued the 1093851024 to Jane E Iannuzzelli on 2007-01-29.
When was the information related to Jane E Iannuzzelli most recently updated or refreshed?
The details pertaining to the Jane E Iannuzzelli, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-04-29.