Quassapaug Ventures in Kaysville - Clinical
Quassapaug Ventures - NPI 1033325089
Quassapaug Ventures is a Clinical in Kaysville, Utah. Quassapaug Ventures practices all healthcare services and medical treatments related to Clinical. The NPI Number for Quassapaug Ventures is 1033325089. The last update date is 2014-07-30.
Quassapaug Ventures's current location address is 447 N 300 W, Kaysville, Utah. You can contact this provider via phone number 8015447413 and fax number 8015443819. The mailing address for Quassapaug Ventures is 447 N 300 W, Kaysville, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Quassapaug Ventures |
|---|---|
| Address | 447 N 300 W, Kaysville, Utah |
| Phone Number | 8015447413 |
| Fax Number | 8015443819 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Stewart M Kathryn |
| Credentials | PH.D. |
| Telephone Number | 8015447413 |
NPI Number Detail
| NPI Number | 1033325089 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2014-07-30 |
Provider Mailing Address Detail
| Address | 447 N 300 W |
|---|---|
| City | Kaysville |
| State | Utah (UT) |
| Post Code | 840374203 |
| Phone Number | 8015447413 |
| Fax Number | 8015443819 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 369768-2501 |
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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 identification code issued to Quassapaug Ventures by the Centers for Medicare & Medicaid Services?
The Quassapaug Ventures has been assigned the NPI (National Provider Identifier) 1033325089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Quassapaug Ventures's facilities are geographically located?
The facilities of Quassapaug Ventures are physically situated at the following location: 447 N 300 W, Kaysville, UT, 840374203.
What is Quassapaug Ventures's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Quassapaug Ventures is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1033325089 assigned to Quassapaug Ventures?
The Quassapaug Ventures was issued its 1033325089 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Quassapaug Ventures most recently updated?
The details pertaining to the Quassapaug Ventures, including its address, specialty, and other relevant information, were last refreshed on 2014-07-30.
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