Nancy Jo Evangelista in Alfred - Clinical Child & Adolescent

Nancy Jo Evangelista - NPI 1699808519

Nancy Jo Evangelista is a Clinical Child & Adolescent in Alfred, New York. Nancy Jo Evangelista practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Nancy Jo Evangelista is 1699808519. The last update date is 2007-07-08.

Nancy Jo Evangelista's current location address is 10 Church St, Alfred, New York. You can contact this provider via phone number 6079680616 and fax number 6075879533. The mailing address for Nancy Jo Evangelista is 10 Church St, Alfred, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Nancy Jo Evangelista
Address 10 Church St, Alfred, New York
Phone Number 6079680616
Fax Number 6075879533
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1699808519
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10 Church St
City Alfred
State New York (NY)
Post Code 148021102
Phone Number 6079680616
Fax Number 6075879533

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 009840-1
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
11514985 NY CAHQ UNIVERSAL CREDENTIAL

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FAQs about Nancy Jo Evangelista

What is the unique 10-digit identifier code issued to Nancy Jo Evangelista by the Centers for Medicare & Medicaid Services?

The Nancy Jo Evangelista has been assigned the NPI (National Provider Identifier) 1699808519 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 Nancy Jo Evangelista's facilities are geographically located?

The facilities of Nancy Jo Evangelista are physically situated at the following location: 10 Church St, Alfred, NY, 148021102.

What is Nancy Jo Evangelista's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Nancy Jo Evangelista is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.

When did the Nancy Jo Evangelista receive its 1699808519?

The Nancy Jo Evangelista was issued its 1699808519 on 2007-03-13, which is the date when the organization was assigned this unique identifier.

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

The information related to Nancy Jo Evangelista, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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