Jerome Elmer Modlik in Indianapolis - Psychologist
Jerome Elmer Modlik - NPI 1174787436
Jerome Elmer Modlik is a Psychologist in Indianapolis, Indiana. Jerome Elmer Modlik practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jerome Elmer Modlik is 1174787436. The last update date is 2008-07-16.
Jerome Elmer Modlik's current location address is 8102 Clearvista Pkwy, Indianapolis, Indiana. You can contact this provider via phone number 3178498222. The mailing address for Jerome Elmer Modlik is 8102 Clearvista Pkwy, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Elmer Modlik |
|---|---|
| Address | 8102 Clearvista Pkwy, Indianapolis, Indiana |
| Phone Number | 3178498222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174787436 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 8102 Clearvista Pkwy |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462561661 |
| Phone Number | 3178498222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 20040316A |
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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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What is the unique identifier code issued to Jerome Elmer Modlik by the Centers for Medicare & Medicaid Services?
The Jerome Elmer Modlik has been assigned the NPI (National Provider Identifier) 1174787436. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerome Elmer Modlik located?
The Jerome Elmer Modlik is located at 8102 Clearvista Pkwy, Indianapolis, IN 462561661.
What is the Jerome Elmer Modlik's area of specialization and corresponding taxonomy classification?
The Jerome Elmer Modlik's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When did Jerome Elmer Modlik receive its 1174787436 assignment?
The Jerome Elmer Modlik was assigned its 1174787436 on 2008-07-16, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jerome Elmer Modlik most recently updated or revised?
The details related to Jerome Elmer Modlik, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-16.
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