Carey E Laine in Nevada City - Exercise & Sports
Carey E Laine - NPI 1205834058
Carey E Laine is a Exercise & Sports in Nevada City, California. Carey E Laine practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Carey E Laine is 1205834058. The last update date is 2019-12-04.
Carey E Laine's current location address is Po Box 1288, Nevada City, California. You can contact this provider via phone number 5302770976 and fax number 8339001392. The mailing address for Carey E Laine is Po Box 1288, Nevada City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carey E Laine |
|---|---|
| Address | Po Box 1288, Nevada City, California |
| Phone Number | 5302770976 |
| Fax Number | 8339001392 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1205834058 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2019-12-04 |
Provider Mailing Address Detail
| Address | Po Box 1288 |
|---|---|
| City | Nevada City |
| State | California (CA) |
| Post Code | 959591288 |
| Phone Number | 5302770976 |
| Fax Number | 8339001392 |
Provider's Primary Taxonomy Detail
| Speciality | Exercise & Sports |
|---|---|
| Taxonomy | 103Te1100X |
| Licence No | PSY 21635 |
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Definition: A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPL 216 350 | CA | BLUE SHIELD | |
| 12290214 | CA | CAQH |
Post Comment/ Review Below
What is the unique identification code assigned to Carey E Laine by the Centers for Medicare & Medicaid Services?
The Carey E Laine has been issued the NPI (National Provider Identifier) 1205834058. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Carey E Laine's facilities are situated?
The facilities of Carey E Laine are physically located at the following address: Po Box 1288, Nevada City, CA, 959591288.
What is Carey E Laine's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carey E Laine's area of specialization is Exercise & Sports, and the corresponding taxonomy code that categorizes this field of practice is 103Te1100X.
On what date was the 1205834058 assigned to Carey E Laine?
The Carey E Laine was issued its 1205834058 on 2005-07-13, 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 details related to Carey E Laine most recently updated or revised?
The information pertaining to Carey E Laine, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-04.