Amanda M Destefano-Marks in Mesa - School
Amanda M Destefano-Marks - NPI 1184871170
Amanda M Destefano-Marks is a School in Mesa, Arizona. Amanda M Destefano-Marks practices all healthcare services and medical treatments related to School. The NPI Number for Amanda M Destefano-Marks is 1184871170. The last update date is 2008-08-21.
Amanda M Destefano-Marks's current location address is 1025 N Country Club Dr, Mesa, Arizona. You can contact this provider via phone number 4804721206 and fax number 4804720705. The mailing address for Amanda M Destefano-Marks is 1025 N Country Club Dr, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda M Destefano-Marks |
|---|---|
| Address | 1025 N Country Club Dr, Mesa, Arizona |
| Phone Number | 4804721206 |
| Fax Number | 4804720705 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1184871170 |
|---|---|
| Provider Enumeration Date | 2008-08-21 |
| Last Updated Date | 2008-08-21 |
Provider Mailing Address Detail
| Address | 1025 N Country Club Dr |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852013307 |
| Phone Number | 4804721206 |
| Fax Number | 4804720705 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
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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 10-digit identification code issued to Amanda M Destefano-Marks by the Centers for Medicare & Medicaid Services?
The Amanda M Destefano-Marks has been assigned the NPI (National Provider Identifier) 1184871170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Amanda M Destefano-Marks's facilities are situated?
The facilities of Amanda M Destefano-Marks are physically located at the following address: 1025 N Country Club Dr, Mesa, AZ, 852013307.
What is Amanda M Destefano-Marks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amanda M Destefano-Marks's specialized field of practice is School, and the corresponding taxonomy code that categorizes this area of specialization is 103Ts0200X.
On what date was the 1184871170 assigned to Amanda M Destefano-Marks?
The Amanda M Destefano-Marks was issued its 1184871170 on 2008-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Amanda M Destefano-Marks most recently updated?
The details pertaining to the Amanda M Destefano-Marks, including its address, specialty, and other relevant information, were last refreshed on 2008-08-21.
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