Maria Stewart in Downers Grove - Clinical Child & Adolescent

Maria Stewart - NPI 1669535456

Maria Stewart is a Clinical Child & Adolescent in Downers Grove, Illinois. Maria Stewart practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Maria Stewart is 1669535456. The last update date is 2008-05-23.

Maria Stewart's current location address is 707 Ridgeview St, Downers Grove, Illinois. You can contact this provider via phone number 6308527336 and fax number 6308528177. The mailing address for Maria Stewart is 707 Ridgeview St, Downers Grove, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Maria Stewart
Address 707 Ridgeview St, Downers Grove, Illinois
Phone Number 6308527336
Fax Number 6308528177
Sole Proprietor Y
Credentials PSYD

NPI Number Detail

NPI Number 1669535456
Provider Enumeration Date 2006-12-19
Last Updated Date 2008-05-23

Provider Mailing Address Detail

Address 707 Ridgeview St
City Downers Grove
State Illinois (IL)
Post Code 605163930
Phone Number 6308527336
Fax Number 6308528177

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 71005206
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4922024 IL BCBS PT
2222567 IL BCBS SP

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FAQs about Maria Stewart

What is the Maria Stewart's 1669535456?

The Maria Stewart's NPI (National Provider Identifier) Number is 1669535456. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Maria Stewart's facilities are geographically located?

The facilities of Maria Stewart are physically situated at the following location: 707 Ridgeview St, Downers Grove, IL, 605163930.

What is Maria Stewart's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Maria Stewart'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 the Maria Stewart receive its 1669535456 assignment from the Centers for Medicare & Medicaid Services?

The Maria Stewart was assigned its 1669535456 by the Centers for Medicare & Medicaid Services on 2006-12-19.

As of what date was the information regarding Maria Stewart, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Maria Stewart, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-23.

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