Shonda Nixon is a Clinical in Philadelphia, Pennsylvania. Shonda Nixon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shonda Nixon is 1003896614. The last update date is 2008-04-02.
Shonda Nixon's current location address is 850 N 11th St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157691590. The mailing address for Shonda Nixon is 850 N 11th St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shonda Nixon |
|---|---|
| Address | 850 N 11th St, Philadelphia, Pennsylvania |
| Phone Number | 2157691590 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1003896614 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 850 N 11th St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191231957 |
| Phone Number | 2157691590 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS015472 |
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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 Shonda Nixon by the Centers for Medicare & Medicaid Services?
The Shonda Nixon has been assigned the NPI (National Provider Identifier) 1003896614. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shonda Nixon's physical address?
The Shonda Nixon is physically located at 850 N 11Th St, in the city of Philadelphia, PA, with the postal code 191231957.
What is the area of specialization for Shonda Nixon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shonda Nixon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1003896614 assigned to Shonda Nixon?
The Shonda Nixon was issued its 1003896614 on 2006-01-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shonda Nixon's information last updated?
The Shonda Nixon's information was last updated on 2008-04-02.