Wanna Prommart is a Psychologist in Alexandria, Virginia. Wanna Prommart practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Wanna Prommart is 1124151014. The last update date is 2007-07-08.
Wanna Prommart's current location address is 491 Naylor Pl, Alexandria, Virginia. You can contact this provider via phone number 5717228872. The mailing address for Wanna Prommart is 491 Naylor Pl, Alexandria, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanna Prommart |
|---|---|
| Address | 491 Naylor Pl, Alexandria, Virginia |
| Phone Number | 5717228872 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1124151014 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 491 Naylor Pl |
|---|---|
| City | Alexandria |
| State | Virginia (VA) |
| Post Code | 223042227 |
| Phone Number | 5717228872 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 810003512 |
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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 |
|---|---|---|---|
| 11551672 | ACQH | ||
| 199902 | ANTHEM BLUE CROSS BLUE SH | ||
| 3403124 | CIGNA | ||
| 361274 | MHN | ||
| 27984 | VMC BEHAVIOR HEALTH SERVI | ||
| 3769 | CAREFIRST BLUE CROSS BLUE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wanna Prommart by the Centers for Medicare & Medicaid Services?
The Wanna Prommart has been issued the NPI (National Provider Identifier) 1124151014 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Wanna Prommart is physically located?
The Wanna Prommart is physically situated at the following address: 491 Naylor Pl, Alexandria, VA, 223042227.
What is the Wanna Prommart's area of specialization and corresponding taxonomy classification?
The Wanna Prommart's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When did Wanna Prommart receive its 1124151014 assignment?
The Wanna Prommart was assigned its 1124151014 on 2007-03-13, which is the date when this unique identifier was issued to the organization.
As of what date were the Wanna Prommart's details last updated?
The information pertaining to the Wanna Prommart, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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