Cynthia Jean Wall is a Clinical in Odessa, Texas. Cynthia Jean Wall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cynthia Jean Wall is 1134139330. The last update date is 2012-03-01.
Cynthia Jean Wall's current location address is 8050 E Highway 191, Odessa, Texas. You can contact this provider via phone number 4323121450 and fax number 4323660295. The mailing address for Cynthia Jean Wall is 8050 E Highway 191, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia Jean Wall |
|---|---|
| Address | 8050 E Highway 191, Odessa, Texas |
| Phone Number | 4323121450 |
| Fax Number | 4323660295 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1134139330 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2012-03-01 |
Provider Mailing Address Detail
| Address | 8050 E Highway 191 |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797658613 |
| Phone Number | 4323121450 |
| Fax Number | 4323660295 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 23786 |
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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 Cynthia Jean Wall by the Centers for Medicare & Medicaid Services?
The Cynthia Jean Wall has been issued the NPI (National Provider Identifier) 1134139330 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Cynthia Jean Wall is physically located?
The Cynthia Jean Wall is physically situated at the following address: 8050 E Highway 191, Odessa, TX, 797658613.
What is Cynthia Jean Wall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cynthia Jean Wall is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Cynthia Jean Wall receive its 1134139330 assignment from the Centers for Medicare & Medicaid Services?
The Cynthia Jean Wall was assigned its 1134139330 on 2006-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Cynthia Jean Wall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cynthia Jean Wall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-01.