Maryanne Bongiovani in Ellicott City - Clinical Child & Adolescent
Maryanne Bongiovani - NPI 1164570354
Maryanne Bongiovani is a Clinical Child & Adolescent in Ellicott City, Maryland. Maryanne Bongiovani practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Maryanne Bongiovani is 1164570354. The last update date is 2007-07-08.
Maryanne Bongiovani's current location address is 9050 Chevrolet Dr, Ellicott City, Maryland. You can contact this provider via phone number 4107509493. The mailing address for Maryanne Bongiovani is 9050 Chevrolet Dr, Ellicott City, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryanne Bongiovani |
|---|---|
| Address | 9050 Chevrolet Dr, Ellicott City, Maryland |
| Phone Number | 4107509493 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164570354 |
|---|---|
| Provider Enumeration Date | 2007-01-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9050 Chevrolet Dr |
|---|---|
| City | Ellicott City |
| State | Maryland (MD) |
| Post Code | 210424018 |
| Phone Number | 4107509493 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2316 |
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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 identifier code issued to Maryanne Bongiovani by the Centers for Medicare & Medicaid Services?
The Maryanne Bongiovani has been assigned the NPI (National Provider Identifier) 1164570354. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Maryanne Bongiovani is physically located?
The Maryanne Bongiovani is situated at the following address: 9050 Chevrolet Dr, Ellicott City, MD 210424018.
What is the Maryanne Bongiovani's area of specialization and corresponding taxonomy classification?
The Maryanne Bongiovani's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did the Maryanne Bongiovani receive its 1164570354 assignment from the Centers for Medicare & Medicaid Services?
The Maryanne Bongiovani was assigned its 1164570354 by the Centers for Medicare & Medicaid Services on 2007-01-06.
When was the Maryanne Bongiovani's information last updated?
The Maryanne Bongiovani's information was last updated on 2007-07-08.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL