Tracy O'Leary Tevyaw in Providence - Clinical
Tracy O'Leary Tevyaw - NPI 1326169053
Tracy O'Leary Tevyaw is a Clinical in Providence, Rhode Island. Tracy O'Leary Tevyaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy O'Leary Tevyaw is 1326169053. The last update date is 2012-02-21.
Tracy O'Leary Tevyaw's current location address is 830 Chalkstone Ave # 116b, Providence, Rhode Island. You can contact this provider via phone number 4012737100. The mailing address for Tracy O'Leary Tevyaw is 830 Chalkstone Ave # 116b, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy O'Leary Tevyaw |
|---|---|
| Address | 830 Chalkstone Ave # 116b, Providence, Rhode Island |
| Phone Number | 4012737100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1326169053 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2012-02-21 |
Provider Mailing Address Detail
| Address | 830 Chalkstone Ave # 116b |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29084799 |
| Phone Number | 4012737100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS00755 |
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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 identifier code assigned to Tracy O'Leary Tevyaw by the Centers for Medicare & Medicaid Services?
The Tracy O'Leary Tevyaw has been issued the NPI (National Provider Identifier) 1326169053 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Tracy O'Leary Tevyaw?
The Tracy O'Leary Tevyaw is situated at 830 Chalkstone Ave # 116B, in the city of Providence, state of RI, with the zip code 29084799.
What is Tracy O'Leary Tevyaw's area of expertise and its corresponding taxonomy classification?
The Tracy O'Leary Tevyaw's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Tracy O'Leary Tevyaw receive its 1326169053 assignment from the Centers for Medicare & Medicaid Services?
The Tracy O'Leary Tevyaw was assigned its 1326169053 by the Centers for Medicare & Medicaid Services on 2007-04-02.
When was the information pertaining to Tracy O'Leary Tevyaw most recently updated or revised?
The details related to Tracy O'Leary Tevyaw, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-21.