Naomi Pickholtz in Bloomington - Clinical Child & Adolescent

Naomi Pickholtz - NPI 1306903414

Naomi Pickholtz is a Clinical Child & Adolescent in Bloomington, Indiana. Naomi Pickholtz practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Naomi Pickholtz is 1306903414. The last update date is 2012-06-29.

Naomi Pickholtz's current location address is 4935 W Arlington Rd, Bloomington, Indiana. You can contact this provider via phone number 8123533800 and fax number 8123533770. The mailing address for Naomi Pickholtz is 4935 W Arlington Rd, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Naomi Pickholtz
Address 4935 W Arlington Rd, Bloomington, Indiana
Phone Number 8123533800
Fax Number 8123533770
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1306903414
Provider Enumeration Date 2007-01-02
Last Updated Date 2012-06-29

Provider Mailing Address Detail

Address 4935 W Arlington Rd
City Bloomington
State Indiana (IN)
Post Code 474041187
Phone Number 8123533800
Fax Number 8123533770

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 20042504A
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
201042360 IN --

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FAQs about Naomi Pickholtz

What is the unique identifier code issued to Naomi Pickholtz by the Centers for Medicare & Medicaid Services (CMS)?

The Naomi Pickholtz has been assigned the NPI (National Provider Identifier) 1306903414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Naomi Pickholtz's facilities are situated?

The facilities of Naomi Pickholtz are physically located at the following address: 4935 W Arlington Rd, Bloomington, IN, 474041187.

What is Naomi Pickholtz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Naomi Pickholtz is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1306903414 to Naomi Pickholtz?

The Centers for Medicare & Medicaid Services originally issued the 1306903414 to Naomi Pickholtz on 2007-01-02.

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

The information related to Naomi Pickholtz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-29.

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