Donald Craig Kerley in Norcross - Clinical Child & Adolescent
Donald Craig Kerley - NPI 1215010665
Donald Craig Kerley is a Clinical Child & Adolescent in Norcross, Georgia. Donald Craig Kerley practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Donald Craig Kerley is 1215010665. The last update date is 2007-07-08.
Donald Craig Kerley's current location address is 3949 Holcomb Bridge Rd, Norcross, Georgia. You can contact this provider via phone number 7704490082 and fax number 6786238234. The mailing address for Donald Craig Kerley is 3949 Holcomb Bridge Rd, Norcross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Craig Kerley |
|---|---|
| Address | 3949 Holcomb Bridge Rd, Norcross, Georgia |
| Phone Number | 7704490082 |
| Fax Number | 6786238234 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1215010665 |
|---|---|
| Provider Enumeration Date | 2006-10-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3949 Holcomb Bridge Rd |
|---|---|
| City | Norcross |
| State | Georgia (GA) |
| Post Code | 300922207 |
| Phone Number | 7704490082 |
| Fax Number | 6786238234 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY002840 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10053301 | GA | AMERIGROUP ID NUMBER | |
| 52841596 002 | GA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Donald Craig Kerley's unique identification number?
The Donald Craig Kerley has been assigned the NPI (National Provider Identifier) Number 1215010665 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Donald Craig Kerley's facilities are geographically located?
The facilities of Donald Craig Kerley are physically situated at the following location: 3949 Holcomb Bridge Rd, Norcross, GA, 300922207.
What is Donald Craig Kerley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Donald Craig Kerley's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215010665 to Donald Craig Kerley?
The Centers for Medicare & Medicaid Services originally issued the 1215010665 to Donald Craig Kerley on 2006-10-21.
As of what date were the details pertaining to Donald Craig Kerley last refreshed?
The information related to the Donald Craig Kerley, including its address, specialty, and other relevant details, was last updated on 2007-07-08.