Geoffrey Michaelson in Vienna - Clinical Child & Adolescent
Geoffrey Michaelson - NPI 1689881062
Geoffrey Michaelson is a Clinical Child & Adolescent in Vienna, Virginia. Geoffrey Michaelson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Geoffrey Michaelson is 1689881062. The last update date is 2007-07-08.
Geoffrey Michaelson's current location address is 2110 Gallows Rd # A, Vienna, Virginia. You can contact this provider via phone number 7038831770. The mailing address for Geoffrey Michaelson is 2110 Gallows Rd # A, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Geoffrey Michaelson |
|---|---|
| Address | 2110 Gallows Rd # A, Vienna, Virginia |
| Phone Number | 7038831770 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1689881062 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2110 Gallows Rd # A |
|---|---|
| City | Vienna |
| State | Virginia (VA) |
| Post Code | 221823962 |
| Phone Number | 7038831770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 810001350 |
|
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 issued to Geoffrey Michaelson by the Centers for Medicare & Medicaid Services?
The Geoffrey Michaelson has been assigned the NPI (National Provider Identifier) 1689881062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Geoffrey Michaelson's physical address?
The Geoffrey Michaelson is physically located at 2110 Gallows Rd # A, in the city of Vienna, VA, with the postal code 221823962.
What is the Geoffrey Michaelson's area of specialization and corresponding taxonomy classification?
The Geoffrey Michaelson's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did the Geoffrey Michaelson receive its 1689881062 assignment from the Centers for Medicare & Medicaid Services?
The Geoffrey Michaelson was assigned its 1689881062 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date were the Geoffrey Michaelson's details last updated?
The information pertaining to the Geoffrey Michaelson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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