Martha M Gillis is a Clinical in Fairfax, Virginia. Martha M Gillis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martha M Gillis is 1871657080. The last update date is 2011-11-29.
Martha M Gillis's current location address is 11166 Fairfax Blvd, Fairfax, Virginia. You can contact this provider via phone number 7038198445. The mailing address for Martha M Gillis is 11166 Fairfax Blvd, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha M Gillis |
|---|---|
| Address | 11166 Fairfax Blvd, Fairfax, Virginia |
| Phone Number | 7038198445 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1871657080 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2011-11-29 |
Provider Mailing Address Detail
| Address | 11166 Fairfax Blvd |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220305017 |
| Phone Number | 7038198445 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810003445 |
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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 Martha M Gillis's unique identification number?
The Martha M Gillis has been assigned the NPI (National Provider Identifier) Number 1871657080 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Martha M Gillis is located?
The Martha M Gillis is situated at the following address: 11166 Fairfax Blvd, Fairfax, VA, 220305017.
What is Martha M Gillis'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 Martha M Gillis is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When was the Martha M Gillis's 1871657080 issued?
The Martha M Gillis's 1871657080 was issued on 2006-12-21.
When was the Martha M Gillis's information last updated?
The Martha M Gillis's information was last updated on 2011-11-29.