Constance Moore Brooks in Columbia - Clinical Child & Adolescent
Constance Moore Brooks - NPI 1750470506
Constance Moore Brooks is a Clinical Child & Adolescent in Columbia, Missouri. Constance Moore Brooks practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Constance Moore Brooks is 1750470506. The last update date is 2018-02-15.
Constance Moore Brooks's current location address is 205 Portland St, Columbia, Missouri. You can contact this provider via phone number 5738846052 and fax number 5738846421. The mailing address for Constance Moore Brooks is 205 Portland St, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constance Moore Brooks |
|---|---|
| Address | 205 Portland St, Columbia, Missouri |
| Phone Number | 5738846052 |
| Fax Number | 5738846421 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1750470506 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2018-02-15 |
Provider Mailing Address Detail
| Address | 205 Portland St |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652016521 |
| Phone Number | 5738846052 |
| Fax Number | 5738846421 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2007028043 |
|
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 |
|---|---|---|---|
| 494-73-8610 | MO | -- | |
| 11614969 | MO | CAQH PROVIDER ID |
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What is the unique 10-digit identifier code issued to Constance Moore Brooks by the Centers for Medicare & Medicaid Services?
The Constance Moore Brooks has been assigned the NPI (National Provider Identifier) 1750470506 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Constance Moore Brooks's facilities are geographically located?
The facilities of Constance Moore Brooks are physically situated at the following location: 205 Portland St, Columbia, MO, 652016521.
What is the area of specialization for Constance Moore Brooks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Constance Moore Brooks is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
When was the Constance Moore Brooks's 1750470506 issued?
The Constance Moore Brooks's 1750470506 was issued on 2006-10-12.
As of what date were the Constance Moore Brooks's details last updated?
The information pertaining to the Constance Moore Brooks, including its address, specialty, and other details, was most recently updated on 2018-02-15.
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