Tamara Boggio is a School in Metamora, Illinois. Tamara Boggio practices all healthcare services and medical treatments related to School. The NPI Number for Tamara Boggio is 1588782163. The last update date is 2007-07-08.
Tamara Boggio's current location address is 611 Countryside Dr, Metamora, Illinois. You can contact this provider via phone number 3096970880. The mailing address for Tamara Boggio is 611 Countryside Dr, Metamora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara Boggio |
|---|---|
| Address | 611 Countryside Dr, Metamora, Illinois |
| Phone Number | 3096970880 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588782163 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 611 Countryside Dr |
|---|---|
| City | Metamora |
| State | Illinois (IL) |
| Post Code | 615488601 |
| Phone Number | 3096970880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 1202952 |
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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 assigned to Tamara Boggio by the Centers for Medicare & Medicaid Services?
The Tamara Boggio has been issued the NPI (National Provider Identifier) 1588782163, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tamara Boggio is physically located?
The Tamara Boggio is physically situated at the following address: 611 Countryside Dr, Metamora, IL, 615488601.
What is the Tamara Boggio's area of specialization and corresponding taxonomy classification?
The Tamara Boggio's specialty field is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their specialties.
On what date did Tamara Boggio receive its 1588782163 assignment from the Centers for Medicare & Medicaid Services?
The Tamara Boggio was assigned its 1588782163 on 2007-03-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tamara Boggio last refreshed?
The information related to the Tamara Boggio, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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