Julie Frances Fennimore in Santa Rosa - Psychologist
Julie Frances Fennimore - NPI 1073670246
Julie Frances Fennimore is a Psychologist in Santa Rosa, California. Julie Frances Fennimore practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Julie Frances Fennimore is 1073670246. The last update date is 2007-07-08.
Julie Frances Fennimore's current location address is 3554 Round Barn Blvd, Santa Rosa, California. You can contact this provider via phone number 7075713729. The mailing address for Julie Frances Fennimore is 3554 Round Barn Blvd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Julie Frances Fennimore |
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Address | 3554 Round Barn Blvd, Santa Rosa, California |
Phone Number | 7075713729 |
Fax Number | |
Sole Proprietor | N |
Credentials | PSY.D |
NPI Number Detail
NPI Number | 1073670246 |
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Provider Enumeration Date | 2007-01-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3554 Round Barn Blvd |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954030929 |
Phone Number | 7075713729 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | PSY 18518 |
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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What is the unique 10-digit identifier code issued to Julie Frances Fennimore by the Centers for Medicare & Medicaid Services?
The Julie Frances Fennimore has been assigned the NPI (National Provider Identifier) 1073670246 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Julie Frances Fennimore?
The Julie Frances Fennimore is situated at 3554 Round Barn Blvd, in the city of Santa Rosa, state of CA, with the zip code 954030929.
What is Julie Frances Fennimore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Julie Frances Fennimore is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Julie Frances Fennimore receive the assignment of its 1073670246 from the Centers for Medicare & Medicaid Services?
The Julie Frances Fennimore was issued its 1073670246 by the Centers for Medicare & Medicaid Services on 2007-01-03.
When was the information pertaining to Julie Frances Fennimore most recently updated or revised?
The details related to Julie Frances Fennimore, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC