Southeast Psychological Consulting, Llc in Gainesville - Exercise & Sports
Southeast Psychological Consulting, Llc - NPI 1710942347
Southeast Psychological Consulting, Llc is a Exercise & Sports in Gainesville, Florida. Southeast Psychological Consulting, Llc practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Southeast Psychological Consulting, Llc is 1710942347. The last update date is 2010-12-01.
Southeast Psychological Consulting, Llc's current location address is 5200 Nw 43rd St., Suite 102 #254, Gainesville, Florida. You can contact this provider via phone number 3523380077 and fax number 3523726910. The mailing address for Southeast Psychological Consulting, Llc is 5200 Nw 43rd St., Suite 102 #254, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Psychological Consulting, Llc |
|---|---|
| Address | 5200 Nw 43rd St., Suite 102 #254, Gainesville, Florida |
| Phone Number | 3523380077 |
| Fax Number | 3523726910 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHD LICENS |
|---|---|
| Authorized Official Name | Cadiz Elizabeth Helen |
| Credentials | PH.D, PSYC |
| Telephone Number | 3523380077 |
NPI Number Detail
| NPI Number | 1710942347 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2010-12-01 |
Provider Mailing Address Detail
| Address | 5200 Nw 43rd St., Suite 102 #254 |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326064486 |
| Phone Number | 3523380077 |
| Fax Number | 3523726910 |
Provider's Primary Taxonomy Detail
| Speciality | Exercise & Sports |
|---|---|
| Taxonomy | 103Te1100X |
|
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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What is the unique identification code assigned to Southeast Psychological Consulting, Llc by the Centers for Medicare & Medicaid Services?
The Southeast Psychological Consulting, Llc has been issued the NPI (National Provider Identifier) 1710942347. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Southeast Psychological Consulting, Llc is physically located?
The Southeast Psychological Consulting, Llc is situated at the following address: 5200 Nw 43Rd St., Suite 102 #254, Gainesville, FL 326064486.
What is Southeast Psychological Consulting, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southeast Psychological Consulting, Llc is Exercise & Sports, and the taxonomy code that classifies this field of practice is 103Te1100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710942347 to Southeast Psychological Consulting, Llc?
The Centers for Medicare & Medicaid Services assigned the 1710942347 to Southeast Psychological Consulting, Llc on 2006-04-18.
When was the information regarding Southeast Psychological Consulting, Llc most recently updated?
The details pertaining to the Southeast Psychological Consulting, Llc, including its address, specialty, and other relevant information, were last refreshed on 2010-12-01.