Jeannie Boatler is a Clinical in Houston, Texas. Jeannie Boatler practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeannie Boatler is 1902814411. The last update date is 2007-07-08.
Jeannie Boatler's current location address is 12012 Wickchester Ln, Houston, Texas. You can contact this provider via phone number 8324482800 and fax number 8324482801. The mailing address for Jeannie Boatler is 12012 Wickchester Ln, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannie Boatler |
|---|---|
| Address | 12012 Wickchester Ln, Houston, Texas |
| Phone Number | 8324482800 |
| Fax Number | 8324482801 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1902814411 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12012 Wickchester Ln |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770791229 |
| Phone Number | 8324482800 |
| Fax Number | 8324482801 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 32273 |
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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 |
|---|---|---|---|
| P00180179 | TX | RAILROAD | |
| 8C9928 | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeannie Boatler by the Centers for Medicare & Medicaid Services?
The Jeannie Boatler has been issued the NPI (National Provider Identifier) 1902814411, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jeannie Boatler?
The Jeannie Boatler is physically situated at 12012 Wickchester Ln, in the city of Houston, state of TX, with the postal code 770791229.
What is Jeannie Boatler's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeannie Boatler is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did Jeannie Boatler receive its 1902814411 assignment?
The Jeannie Boatler was assigned its 1902814411 on 2006-08-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jeannie Boatler last refreshed?
The information related to the Jeannie Boatler, including its address, specialty, and other relevant details, was last updated on 2007-07-08.