Nikki Brodsky-Jones in Mesa - Clinical Child & Adolescent
Nikki Brodsky-Jones - NPI 1780754135
Nikki Brodsky-Jones is a Clinical Child & Adolescent in Mesa, Arizona. Nikki Brodsky-Jones practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Nikki Brodsky-Jones is 1780754135. The last update date is 2008-01-17.
Nikki Brodsky-Jones's current location address is 1237 S Val Vista Dr # 108, Mesa, Arizona. You can contact this provider via phone number 4807763392 and fax number 4803960532. The mailing address for Nikki Brodsky-Jones is 1237 S Val Vista Dr # 108, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nikki Brodsky-Jones |
|---|---|
| Address | 1237 S Val Vista Dr # 108, Mesa, Arizona |
| Phone Number | 4807763392 |
| Fax Number | 4803960532 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1780754135 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 1237 S Val Vista Dr # 108 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852046401 |
| Phone Number | 4807763392 |
| Fax Number | 4803960532 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 3720 |
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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 |
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What is the unique identifier code issued to Nikki Brodsky-Jones by the Centers for Medicare & Medicaid Services?
The Nikki Brodsky-Jones has been assigned the NPI (National Provider Identifier) 1780754135. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Nikki Brodsky-Jones's physical address?
The Nikki Brodsky-Jones is physically located at 1237 S Val Vista Dr # 108, in the city of Mesa, AZ, with the postal code 852046401.
What is the Nikki Brodsky-Jones's specialty and taxonomy code?
The Nikki Brodsky-Jones's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780754135 to Nikki Brodsky-Jones?
The Centers for Medicare & Medicaid Services originally issued the 1780754135 to Nikki Brodsky-Jones on 2006-11-09.
As of what date was the information regarding Nikki Brodsky-Jones, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nikki Brodsky-Jones, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-17.