Pamelia Fowler Willis in Fort Sam Houston - Clinical Neuropsychologist
Pamelia Fowler Willis - NPI 1245212828
Pamelia Fowler Willis is a Clinical Neuropsychologist in Fort Sam Houston, Texas. Pamelia Fowler Willis practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Pamelia Fowler Willis is 1245212828. The last update date is 2018-08-08.
Pamelia Fowler Willis's current location address is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2019168087. The mailing address for Pamelia Fowler Willis is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamelia Fowler Willis |
|---|---|
| Address | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2019168087 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1245212828 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2018-08-08 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 78234 |
| Phone Number | 2019168087 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 22368 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the Pamelia Fowler Willis's unique identification number?
The Pamelia Fowler Willis has been assigned the NPI (National Provider Identifier) Number 1245212828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Pamelia Fowler Willis?
The Pamelia Fowler Willis is situated at 3551 Roger Brooke Dr, in the city of Fort Sam Houston, state of TX, with the zip code 78234.
What is the Pamelia Fowler Willis's specialty and taxonomy code?
The Pamelia Fowler Willis's specialty is Clinical Neuropsychologist, and the corresponding taxonomy code is 103G00000X.
On what date did Pamelia Fowler Willis receive its 1245212828 assignment from the Centers for Medicare & Medicaid Services?
The Pamelia Fowler Willis was assigned its 1245212828 on 2005-11-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Pamelia Fowler Willis most recently updated or refreshed?
The details pertaining to the Pamelia Fowler Willis, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-08-08.