Angela Rose Gillem in Philadelphia - Clinical
Angela Rose Gillem - NPI 1306060074
Angela Rose Gillem is a Clinical in Philadelphia, Pennsylvania. Angela Rose Gillem practices all healthcare services and medical treatments related to Clinical. The NPI Number for Angela Rose Gillem is 1306060074. The last update date is 2013-11-25.
Angela Rose Gillem's current location address is 7134 Cresheim Rd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2672580609. The mailing address for Angela Rose Gillem is 7134 Cresheim Rd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Rose Gillem |
|---|---|
| Address | 7134 Cresheim Rd, Philadelphia, Pennsylvania |
| Phone Number | 2672580609 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1306060074 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2013-11-25 |
Provider Mailing Address Detail
| Address | 7134 Cresheim Rd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191192429 |
| Phone Number | 2672580609 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS004924L |
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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 identifier code issued to Angela Rose Gillem by the Centers for Medicare & Medicaid Services?
The Angela Rose Gillem has been assigned the NPI (National Provider Identifier) 1306060074. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Angela Rose Gillem?
The Angela Rose Gillem is physically situated at 7134 Cresheim Rd, in the city of Philadelphia, state of PA, with the postal code 191192429.
What is Angela Rose Gillem's specialized field of practice, and what is the corresponding taxonomy classification code?
The Angela Rose Gillem's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Angela Rose Gillem receive its 1306060074 assignment from the Centers for Medicare & Medicaid Services?
The Angela Rose Gillem was assigned its 1306060074 by the Centers for Medicare & Medicaid Services on 2007-04-12.
When was the information pertaining to Angela Rose Gillem most recently updated or revised?
The details related to Angela Rose Gillem, including its address, specialty, and other relevant information, were last updated or revised on 2013-11-25.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH