Lara Mattingly is a School in Glendale, Arizona. Lara Mattingly practices all healthcare services and medical treatments related to School. The NPI Number for Lara Mattingly is 1629224951. The last update date is 2008-08-18.
Lara Mattingly's current location address is 6330 W Thunderbird Rd, Glendale, Arizona. You can contact this provider via phone number 6234866000. The mailing address for Lara Mattingly is 6330 W Thunderbird Rd, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara Mattingly |
|---|---|
| Address | 6330 W Thunderbird Rd, Glendale, Arizona |
| Phone Number | 6234866000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629224951 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2008-08-18 |
Provider Mailing Address Detail
| Address | 6330 W Thunderbird Rd |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853064002 |
| Phone Number | 6234866000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 4050322 |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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What is the unique identification code assigned to Lara Mattingly by the Centers for Medicare & Medicaid Services?
The Lara Mattingly has been issued the NPI (National Provider Identifier) 1629224951. 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 physical address where Lara Mattingly is located?
The Lara Mattingly is situated at the following address: 6330 W Thunderbird Rd, Glendale, AZ, 853064002.
What is the Lara Mattingly's specialty and taxonomy code?
The Lara Mattingly's specialty is School, and the corresponding taxonomy code is 103Ts0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629224951 to Lara Mattingly?
The Lara Mattingly received its 1629224951 assignment from the Centers for Medicare & Medicaid Services on 2008-08-18.
As of what date were the Lara Mattingly's details last updated?
The information pertaining to the Lara Mattingly, including its address, specialty, and other details, was most recently updated on 2008-08-18.
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