Pamela Anita Gulley in Fairfield - Clinical Child & Adolescent
Pamela Anita Gulley - NPI 1215150123
Pamela Anita Gulley is a Clinical Child & Adolescent in Fairfield, Ohio. Pamela Anita Gulley practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Pamela Anita Gulley is 1215150123. The last update date is 2018-12-03.
Pamela Anita Gulley's current location address is 1251 Nilles Rd Ste 5, Fairfield, Ohio. You can contact this provider via phone number 5139390300 and fax number 5139390310. The mailing address for Pamela Anita Gulley is 1251 Nilles Rd Ste 5, Fairfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Anita Gulley |
|---|---|
| Address | 1251 Nilles Rd Ste 5, Fairfield, Ohio |
| Phone Number | 5139390300 |
| Fax Number | 5139390310 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1215150123 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2018-12-03 |
Provider Mailing Address Detail
| Address | 1251 Nilles Rd Ste 5 |
|---|---|
| City | Fairfield |
| State | Ohio (OH) |
| Post Code | 450147205 |
| Phone Number | 5139390300 |
| Fax Number | 5139390310 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 3567 |
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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 10-digit identification code assigned to Pamela Anita Gulley by the Centers for Medicare & Medicaid Services?
The Pamela Anita Gulley has been issued the NPI (National Provider Identifier) 1215150123, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pamela Anita Gulley's physical address?
The Pamela Anita Gulley is physically located at 1251 Nilles Rd Ste 5, in the city of Fairfield, OH, with the postal code 450147205.
What is Pamela Anita Gulley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pamela Anita Gulley's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215150123 to Pamela Anita Gulley?
The Centers for Medicare & Medicaid Services originally issued the 1215150123 to Pamela Anita Gulley on 2007-04-10.
When was the information pertaining to Pamela Anita Gulley most recently updated or revised?
The details related to Pamela Anita Gulley, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-03.