Michele Mattie, Phd, Llc in Kingston - Clinical Child & Adolescent
Michele Mattie, Phd, Llc - NPI 1477655314
Michele Mattie, Phd, Llc is a Clinical Child & Adolescent in Kingston, Pennsylvania. Michele Mattie, Phd, Llc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Michele Mattie, Phd, Llc is 1477655314. The last update date is 2020-08-22.
Michele Mattie, Phd, Llc's current location address is 517 Pierce St, Kingston, Pennsylvania. You can contact this provider via phone number 5707181150 and fax number 5707141321. The mailing address for Michele Mattie, Phd, Llc is 517 Pierce St, Kingston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michele Mattie, Phd, Llc |
|---|---|
| Address | 517 Pierce St, Kingston, Pennsylvania |
| Phone Number | 5707181150 |
| Fax Number | 5707141321 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mattie Michele |
| Credentials | PHD |
| Telephone Number | 5707181150 |
NPI Number Detail
| NPI Number | 1477655314 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 517 Pierce St |
|---|---|
| City | Kingston |
| State | Pennsylvania (PA) |
| Post Code | 187045731 |
| Phone Number | 5707181150 |
| Fax Number | 5707141321 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PS008609L |
|
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 |
|---|---|---|---|
| 1285665075 | PA | INDIVIDUAL NPI | |
| 359151 | PA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michele Mattie, Phd, Llc by the Centers for Medicare & Medicaid Services?
The Michele Mattie, Phd, Llc has been issued the NPI (National Provider Identifier) 1477655314, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michele Mattie, Phd, Llc is physically located?
The Michele Mattie, Phd, Llc is situated at the following address: 517 Pierce St, Kingston, PA 187045731.
What is Michele Mattie, Phd, Llc'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 Michele Mattie, Phd, Llc is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date was the 1477655314 assigned to Michele Mattie, Phd, Llc?
The Michele Mattie, Phd, Llc was issued its 1477655314 on 2006-09-01, 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 details related to Michele Mattie, Phd, Llc most recently updated or revised?
The information pertaining to Michele Mattie, Phd, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.