Jill M Zablocki in Salt Lake City - Clinical
Jill M Zablocki - NPI 1164609665
Jill M Zablocki is a Clinical in Salt Lake City, Utah. Jill M Zablocki practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill M Zablocki is 1164609665. The last update date is 2016-11-04.
Jill M Zablocki's current location address is 574 E 12th Ave, Salt Lake City, Utah. You can contact this provider via phone number 8018751926 and fax number 6468434713. The mailing address for Jill M Zablocki is 574 E 12th Ave, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill M Zablocki |
|---|---|
| Address | 574 E 12th Ave, Salt Lake City, Utah |
| Phone Number | 8018751926 |
| Fax Number | 6468434713 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1164609665 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2016-11-04 |
Provider Mailing Address Detail
| Address | 574 E 12th Ave |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841033224 |
| Phone Number | 8018751926 |
| Fax Number | 6468434713 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 17071 |
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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 Jill M Zablocki's 1164609665?
The Jill M Zablocki's NPI (National Provider Identifier) Number is 1164609665. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jill M Zablocki is physically located?
The Jill M Zablocki is situated at the following address: 574 E 12Th Ave, Salt Lake City, UT 841033224.
What is Jill M Zablocki's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jill M Zablocki's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164609665 to Jill M Zablocki?
The Centers for Medicare & Medicaid Services assigned the 1164609665 to Jill M Zablocki on 2008-01-28.
As of what date were the details pertaining to Jill M Zablocki last refreshed?
The information related to the Jill M Zablocki, including its address, specialty, and other relevant details, was last updated on 2016-11-04.
NPI Number: 1215930425
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