Denise L Squire is a Clinical in Clarksville, Tennessee. Denise L Squire practices all healthcare services and medical treatments related to Clinical. The NPI Number for Denise L Squire is 1992706022. The last update date is 2020-02-12.
Denise L Squire's current location address is 200 Commerce Street, Clarksville, Tennessee. You can contact this provider via phone number 9315538500. The mailing address for Denise L Squire is 200 Commerce Street, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denise L Squire |
|---|---|
| Address | 200 Commerce Street, Clarksville, Tennessee |
| Phone Number | 9315538500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1992706022 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2020-02-12 |
Provider Mailing Address Detail
| Address | 200 Commerce Street |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 37040 |
| Phone Number | 9315538500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1062 |
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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 |
|---|---|---|---|
| 737644000 | TN | MAGELLAN BEHAVIORAL | |
| 4099228 | TN | BLUE CROSS BLUE SHIELD | |
| 1515155 | TN | -- |
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What is the Denise L Squire's unique identification number?
The Denise L Squire has been assigned the NPI (National Provider Identifier) Number 1992706022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Denise L Squire?
The Denise L Squire is physically situated at 200 Commerce Street, in the city of Clarksville, state of TN, with the postal code 37040.
What is Denise L Squire's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Denise L Squire is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Denise L Squire receive its 1992706022 assignment from the Centers for Medicare & Medicaid Services?
The Denise L Squire was assigned its 1992706022 on 2005-08-10, 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 Denise L Squire's details last updated?
The information pertaining to the Denise L Squire, including its address, specialty, and other details, was most recently updated on 2020-02-12.