Holly A Cloonan in Charleston - Clinical Child & Adolescent

Holly A Cloonan - NPI 1548362247

Holly A Cloonan is a Clinical Child & Adolescent in Charleston, . Holly A Cloonan practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Holly A Cloonan is 1548362247. The last update date is 2016-11-11.

Holly A Cloonan's current location address is 3200 Maccorkle Ave Se Fl 5, Charleston, . You can contact this provider via phone number 3043881000 and fax number 3043881031. The mailing address for Holly A Cloonan is 3200 Maccorkle Ave Se Fl 5, Charleston, . To know further, please read the information below!

Provider Profile Detail

Provider Name Holly A Cloonan
Address 3200 Maccorkle Ave Se Fl 5, Charleston,
Phone Number 3043881000
Fax Number 3043881031
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1548362247
Provider Enumeration Date 2006-09-02
Last Updated Date 2016-11-11

Provider Mailing Address Detail

Address 3200 Maccorkle Ave Se Fl 5
City Charleston
State (WV)
Post Code 253041227
Phone Number 3043881000
Fax Number 3043881031

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 445
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
163280000 WV --

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FAQs about Holly A Cloonan

What is the unique provider identifier assigned to Holly A Cloonan?

The Holly A Cloonan has been issued the NPI (National Provider Identifier) 1548362247 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Holly A Cloonan's facilities are situated?

The facilities of Holly A Cloonan are physically located at the following address: 3200 Maccorkle Ave Se Fl 5, Charleston, WV, 253041227.

What is Holly A Cloonan'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 Holly A Cloonan is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1548362247 to Holly A Cloonan?

The Centers for Medicare & Medicaid Services originally issued the 1548362247 to Holly A Cloonan on 2006-09-02.

When was the information regarding Holly A Cloonan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Holly A Cloonan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-11-11.

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