Dsw Behaviorial Health Center in Crestview - Clinical Child & Adolescent
Dsw Behaviorial Health Center - NPI 1902088727
Dsw Behaviorial Health Center is a Clinical Child & Adolescent in Crestview, Florida. Dsw Behaviorial Health Center practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Dsw Behaviorial Health Center is 1902088727. The last update date is 2007-12-04.
Dsw Behaviorial Health Center's current location address is 608 Jeremy Ct, Crestview, Florida. You can contact this provider via phone number 8505859492 and fax number 8506892617. The mailing address for Dsw Behaviorial Health Center is 608 Jeremy Ct, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dsw Behaviorial Health Center |
|---|---|
| Address | 608 Jeremy Ct, Crestview, Florida |
| Phone Number | 8505859492 |
| Fax Number | 8506892617 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Wright Madelene Shirley |
| Telephone Number | 8505859492 |
NPI Number Detail
| NPI Number | 1902088727 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2007-12-04 |
Provider Mailing Address Detail
| Address | 608 Jeremy Ct |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325396941 |
| Phone Number | 8505859492 |
| Fax Number | 8506892617 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
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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 identifier code issued to Dsw Behaviorial Health Center by the Centers for Medicare & Medicaid Services?
The Dsw Behaviorial Health Center has been assigned the NPI (National Provider Identifier) 1902088727 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dsw Behaviorial Health Center is physically located?
The Dsw Behaviorial Health Center is situated at the following address: 608 Jeremy Ct, Crestview, FL 325396941.
What is Dsw Behaviorial Health Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dsw Behaviorial Health Center's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
On what date did Dsw Behaviorial Health Center receive its 1902088727 assignment from the Centers for Medicare & Medicaid Services?
The Dsw Behaviorial Health Center was assigned its 1902088727 on 2007-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dsw Behaviorial Health Center most recently updated?
The details pertaining to the Dsw Behaviorial Health Center, including its address, specialty, and other relevant information, were last refreshed on 2007-12-04.
NPI Number: 1942207287
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