John Ciocca is a Clinical in Ellendale, Tennessee. John Ciocca practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Ciocca is 1518032051. The last update date is 2007-07-08.
John Ciocca's current location address is Po Box 269, Ellendale, Tennessee. You can contact this provider via phone number 9013710019 and fax number 9013739613. The mailing address for John Ciocca is Po Box 269, Ellendale, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Ciocca |
|---|---|
| Address | Po Box 269, Ellendale, Tennessee |
| Phone Number | 9013710019 |
| Fax Number | 9013739613 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1518032051 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 269 |
|---|---|
| City | Ellendale |
| State | Tennessee (TN) |
| Post Code | 380290269 |
| Phone Number | 9013710019 |
| Fax Number | 9013739613 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P000903 |
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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 |
|---|---|---|---|
| 2006267 | TN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Ciocca by the Centers for Medicare & Medicaid Services?
The John Ciocca has been issued the NPI (National Provider Identifier) 1518032051, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the John Ciocca located?
The John Ciocca is located at Po Box 269, Ellendale, TN 380290269.
What is John Ciocca's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Ciocca's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did John Ciocca receive its 1518032051 assignment from the Centers for Medicare & Medicaid Services?
The John Ciocca was assigned its 1518032051 on 2006-11-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Ciocca most recently updated or revised?
The details related to John Ciocca, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.