Mariellen E North in Dayton - Clinical Child & Adolescent

Mariellen E North - NPI 1063426104

Mariellen E North is a Clinical Child & Adolescent in Dayton, Maryland. Mariellen E North practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Mariellen E North is 1063426104. The last update date is 2007-07-09.

Mariellen E North's current location address is 4351 Ten Oaks Rd, Dayton, Maryland. You can contact this provider via phone number 4108252281 and fax number 4108250757. The mailing address for Mariellen E North is 4351 Ten Oaks Rd, Dayton, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Mariellen E North
Address 4351 Ten Oaks Rd, Dayton, Maryland
Phone Number 4108252281
Fax Number 4108250757
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1063426104
Provider Enumeration Date 2006-07-27
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4351 Ten Oaks Rd
City Dayton
State Maryland (MD)
Post Code 210361132
Phone Number 4108252281
Fax Number 4108250757

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 2149
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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FAQs about Mariellen E North

What is the unique identifier code issued to Mariellen E North by the Centers for Medicare & Medicaid Services (CMS)?

The Mariellen E North has been assigned the NPI (National Provider Identifier) 1063426104. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Mariellen E North is physically located?

The Mariellen E North is situated at the following address: 4351 Ten Oaks Rd, Dayton, MD 210361132.

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

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

On what date did Mariellen E North receive its 1063426104 assignment from the Centers for Medicare & Medicaid Services?

The Mariellen E North was assigned its 1063426104 on 2006-07-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Mariellen E North most recently updated or refreshed?

The details pertaining to the Mariellen E North, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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