Cassianne Summerlin Booth in Newport News - Clinical
Cassianne Summerlin Booth - NPI 1831128339
Cassianne Summerlin Booth is a Clinical in Newport News, Virginia. Cassianne Summerlin Booth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cassianne Summerlin Booth is 1831128339. The last update date is 2007-07-08.
Cassianne Summerlin Booth's current location address is 708 Mobjack Pl, Newport News, Virginia. You can contact this provider via phone number 7578731958 and fax number 7578732143. The mailing address for Cassianne Summerlin Booth is 708 Mobjack Pl, Newport News, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cassianne Summerlin Booth |
|---|---|
| Address | 708 Mobjack Pl, Newport News, Virginia |
| Phone Number | 7578731958 |
| Fax Number | 7578732143 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1831128339 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 708 Mobjack Pl |
|---|---|
| City | Newport News |
| State | Virginia (VA) |
| Post Code | 236061957 |
| Phone Number | 7578731958 |
| Fax Number | 7578732143 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810001464 |
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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 |
|---|---|---|---|
| 56563 | VA | ANTHEM BC/BS | |
| 80925 | VA | SENTARA | |
| 219661 | VA | MAMSI |
Post Comment/ Review Below
What is the unique identification code assigned to Cassianne Summerlin Booth by the Centers for Medicare & Medicaid Services?
The Cassianne Summerlin Booth has been issued the NPI (National Provider Identifier) 1831128339. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Cassianne Summerlin Booth is physically located?
The Cassianne Summerlin Booth is physically situated at the following address: 708 Mobjack Pl, Newport News, VA, 236061957.
What is Cassianne Summerlin Booth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cassianne Summerlin Booth's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Cassianne Summerlin Booth receive its 1831128339 assignment from the Centers for Medicare & Medicaid Services?
The Cassianne Summerlin Booth was assigned its 1831128339 by the Centers for Medicare & Medicaid Services on 2006-06-30.
As of what date was the information regarding Cassianne Summerlin Booth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cassianne Summerlin Booth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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