Michael Albin Lace in Green Bay - Psychologist
Michael Albin Lace - NPI 1023133022
Michael Albin Lace is a Psychologist in Green Bay, Wisconsin. Michael Albin Lace practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael Albin Lace is 1023133022. The last update date is 2016-09-16.
Michael Albin Lace's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Michael Albin Lace is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Albin Lace |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1023133022 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2016-09-16 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 33333 |
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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 |
|---|---|---|---|
| 39365600 | WI | -- |
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What is the unique 10-digit identification code issued to Michael Albin Lace by the Centers for Medicare & Medicaid Services?
The Michael Albin Lace has been assigned the NPI (National Provider Identifier) 1023133022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Michael Albin Lace located?
The Michael Albin Lace is located at Po Box 19070, Green Bay, WI 543079070.
What is the Michael Albin Lace's area of specialization and corresponding taxonomy classification?
The Michael Albin Lace's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1023133022 to Michael Albin Lace?
The Centers for Medicare & Medicaid Services assigned the 1023133022 to Michael Albin Lace on 2007-03-20.
As of what date were the Michael Albin Lace's details last updated?
The information pertaining to the Michael Albin Lace, including its address, specialty, and other details, was most recently updated on 2016-09-16.