Vonceil Cornelius Smith in Maxwell Afb - Psychologist
Vonceil Cornelius Smith - NPI 1811985690
Vonceil Cornelius Smith is a Psychologist in Maxwell Afb, Alabama. Vonceil Cornelius Smith practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Vonceil Cornelius Smith is 1811985690. The last update date is 2018-04-26.
Vonceil Cornelius Smith's current location address is 300 South Twining Street, Maxwell Afb, Alabama. You can contact this provider via phone number 3349534943. The mailing address for Vonceil Cornelius Smith is 300 South Twining Street, Maxwell Afb, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vonceil Cornelius Smith |
|---|---|
| Address | 300 South Twining Street, Maxwell Afb, Alabama |
| Phone Number | 3349534943 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1811985690 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2018-04-26 |
Provider Mailing Address Detail
| Address | 300 South Twining Street |
|---|---|
| City | Maxwell Afb |
| State | Alabama (AL) |
| Post Code | 361126219 |
| Phone Number | 3349534943 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890009810 | AL | -- | |
| 51514378 | AL | BLUE CROSS |
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What is the unique 10-digit identifier code assigned to Vonceil Cornelius Smith by the Centers for Medicare & Medicaid Services?
The Vonceil Cornelius Smith has been issued the NPI (National Provider Identifier) 1811985690 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Vonceil Cornelius Smith's facilities are geographically located?
The facilities of Vonceil Cornelius Smith are physically situated at the following location: 300 South Twining Street, Maxwell Afb, AL, 361126219.
What is the Vonceil Cornelius Smith's specialty and taxonomy code?
The Vonceil Cornelius Smith's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Vonceil Cornelius Smith receive the assignment of its 1811985690 from the Centers for Medicare & Medicaid Services?
The Vonceil Cornelius Smith was issued its 1811985690 by the Centers for Medicare & Medicaid Services on 2005-10-06.
When was the information regarding Vonceil Cornelius Smith most recently updated?
The details pertaining to the Vonceil Cornelius Smith, including its address, specialty, and other relevant information, were last refreshed on 2018-04-26.
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