Natasha Lynn Quackenbush in Antioch - Clinical
Natasha Lynn Quackenbush - NPI 1710024302
Natasha Lynn Quackenbush is a Clinical in Antioch, California. Natasha Lynn Quackenbush practices all healthcare services and medical treatments related to Clinical. The NPI Number for Natasha Lynn Quackenbush is 1710024302. The last update date is 2022-01-11.
Natasha Lynn Quackenbush's current location address is 3454 Hillcrest Ave, Antioch, California. You can contact this provider via phone number 9257776359 and fax number 9257776363. The mailing address for Natasha Lynn Quackenbush is 3454 Hillcrest Ave, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Natasha Lynn Quackenbush |
|---|---|
| Address | 3454 Hillcrest Ave, Antioch, California |
| Phone Number | 9257776359 |
| Fax Number | 9257776363 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1710024302 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2022-01-11 |
Provider Mailing Address Detail
| Address | 3454 Hillcrest Ave |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945318238 |
| Phone Number | 9257776359 |
| Fax Number | 9257776363 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18753 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Natasha Lynn Quackenbush by the Centers for Medicare & Medicaid Services?
The Natasha Lynn Quackenbush has been assigned the NPI (National Provider Identifier) 1710024302 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Natasha Lynn Quackenbush's facilities are geographically located?
The facilities of Natasha Lynn Quackenbush are physically situated at the following location: 3454 Hillcrest Ave, Antioch, CA, 945318238.
What is the Natasha Lynn Quackenbush's specialty and taxonomy code?
The Natasha Lynn Quackenbush's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Natasha Lynn Quackenbush receive its 1710024302 assignment?
The Natasha Lynn Quackenbush was assigned its 1710024302 on 2007-01-31, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Natasha Lynn Quackenbush, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Natasha Lynn Quackenbush, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-11.
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