Sandra L Kilpatrick in Chattanooga - Clinical

Sandra L Kilpatrick - NPI 1487642252

Sandra L Kilpatrick is a Clinical in Chattanooga, Tennessee. Sandra L Kilpatrick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra L Kilpatrick is 1487642252. The last update date is 2007-07-08.

Sandra L Kilpatrick's current location address is 600 N Holtzclaw Ave, Chattanooga, Tennessee. You can contact this provider via phone number 4236220500 and fax number 4236220564. The mailing address for Sandra L Kilpatrick is 600 N Holtzclaw Ave, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra L Kilpatrick
Address 600 N Holtzclaw Ave, Chattanooga, Tennessee
Phone Number 4236220500
Fax Number 4236220564
Sole Proprietor X
Credentials PHD

NPI Number Detail

NPI Number 1487642252
Provider Enumeration Date 2005-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 600 N Holtzclaw Ave
City Chattanooga
State Tennessee (TN)
Post Code 374041242
Phone Number 4236220500
Fax Number 4236220564

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No P02100
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
3688696 TN --

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FAQs about Sandra L Kilpatrick

What is the unique identifier code issued to Sandra L Kilpatrick by the Centers for Medicare & Medicaid Services (CMS)?

The Sandra L Kilpatrick has been assigned the NPI (National Provider Identifier) 1487642252. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Sandra L Kilpatrick is physically located?

The Sandra L Kilpatrick is situated at the following address: 600 N Holtzclaw Ave, Chattanooga, TN 374041242.

What is Sandra L Kilpatrick's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sandra L Kilpatrick's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did Sandra L Kilpatrick receive its 1487642252 assignment from the Centers for Medicare & Medicaid Services?

The Sandra L Kilpatrick was assigned its 1487642252 on 2005-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Sandra L Kilpatrick most recently updated or revised?

The information pertaining to Sandra L Kilpatrick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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