Sandra Jane Eller in Rochester - Clinical Child & Adolescent

Sandra Jane Eller - NPI 1255482766

Sandra Jane Eller is a Clinical Child & Adolescent in Rochester, New York. Sandra Jane Eller practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Sandra Jane Eller is 1255482766. The last update date is 2007-07-08.

Sandra Jane Eller's current location address is 200 White Spruce Blvd, Rochester, New York. You can contact this provider via phone number 5854270270 and fax number 5854270270. The mailing address for Sandra Jane Eller is 200 White Spruce Blvd, Rochester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Jane Eller
Address 200 White Spruce Blvd, Rochester, New York
Phone Number 5854270270
Fax Number 5854270270
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1255482766
Provider Enumeration Date 2007-01-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 200 White Spruce Blvd
City Rochester
State New York (NY)
Post Code 146231605
Phone Number 5854270270
Fax Number 5854270270

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 7743-1
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
73334000 NY AETNA

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FAQs about Sandra Jane Eller

What is the unique 10-digit identification code issued to Sandra Jane Eller by the Centers for Medicare & Medicaid Services?

The Sandra Jane Eller has been assigned the NPI (National Provider Identifier) 1255482766 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Sandra Jane Eller is located?

The Sandra Jane Eller is situated at the following address: 200 White Spruce Blvd, Rochester, NY, 146231605.

What is the area of specialization for Sandra Jane Eller, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Sandra Jane Eller is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

On what date was the 1255482766 assigned to Sandra Jane Eller?

The Sandra Jane Eller was issued its 1255482766 on 2007-01-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Sandra Jane Eller's details last updated?

The information pertaining to the Sandra Jane Eller, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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