Kearney Nicole Visser in Los Angeles - Clinical Child & Adolescent
Kearney Nicole Visser - NPI 1265508824
Kearney Nicole Visser is a Clinical Child & Adolescent in Los Angeles, California. Kearney Nicole Visser practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kearney Nicole Visser is 1265508824. The last update date is 2020-03-03.
Kearney Nicole Visser's current location address is 12655 W Washington Blvd Ste 208, Los Angeles, California. You can contact this provider via phone number 3104095463. The mailing address for Kearney Nicole Visser is 12655 W Washington Blvd Ste 208, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kearney Nicole Visser |
|---|---|
| Address | 12655 W Washington Blvd Ste 208, Los Angeles, California |
| Phone Number | 3104095463 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1265508824 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2020-03-03 |
Provider Mailing Address Detail
| Address | 12655 W Washington Blvd Ste 208 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900662395 |
| Phone Number | 3104095463 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY23855 |
|
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 10-digit identifier code assigned to Kearney Nicole Visser by the Centers for Medicare & Medicaid Services?
The Kearney Nicole Visser has been issued the NPI (National Provider Identifier) 1265508824 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kearney Nicole Visser?
The Kearney Nicole Visser is physically situated at 12655 W Washington Blvd Ste 208, in the city of Los Angeles, state of CA, with the postal code 900662395.
What is Kearney Nicole Visser's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kearney Nicole Visser is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265508824 to Kearney Nicole Visser?
The Centers for Medicare & Medicaid Services originally issued the 1265508824 to Kearney Nicole Visser on 2006-11-27.
As of what date was the information pertaining to Kearney Nicole Visser, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kearney Nicole Visser, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-03-03.
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