Dudleasa Stacie Harris-Thomas in Oakland - Clinical Child & Adolescent
Dudleasa Stacie Harris-Thomas - NPI 1932265170
Dudleasa Stacie Harris-Thomas is a Clinical Child & Adolescent in Oakland, California. Dudleasa Stacie Harris-Thomas practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Dudleasa Stacie Harris-Thomas is 1932265170. The last update date is 2022-02-11.
Dudleasa Stacie Harris-Thomas's current location address is Po Box 20422, Oakland, California. You can contact this provider via phone number 5102513905. The mailing address for Dudleasa Stacie Harris-Thomas is Po Box 20422, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dudleasa Stacie Harris-Thomas |
|---|---|
| Address | Po Box 20422, Oakland, California |
| Phone Number | 5102513905 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1932265170 |
|---|---|
| Provider Enumeration Date | 2006-12-30 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | Po Box 20422 |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946200422 |
| Phone Number | 5102513905 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY17974 |
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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 10-digit identification code assigned to Dudleasa Stacie Harris-Thomas by the Centers for Medicare & Medicaid Services?
The Dudleasa Stacie Harris-Thomas has been issued the NPI (National Provider Identifier) 1932265170, which 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 Dudleasa Stacie Harris-Thomas is physically located?
The Dudleasa Stacie Harris-Thomas is physically situated at the following address: Po Box 20422, Oakland, CA, 946200422.
What is the Dudleasa Stacie Harris-Thomas's area of specialization and corresponding taxonomy classification?
The Dudleasa Stacie Harris-Thomas's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did the Dudleasa Stacie Harris-Thomas receive its 1932265170 assignment from the Centers for Medicare & Medicaid Services?
The Dudleasa Stacie Harris-Thomas was assigned its 1932265170 by the Centers for Medicare & Medicaid Services on 2006-12-30.
When was the Dudleasa Stacie Harris-Thomas's information last updated?
The Dudleasa Stacie Harris-Thomas's information was last updated on 2022-02-11.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC