Psychotherapy Institute Of Individual, Family & Community Development in Antioch - Clinical
Psychotherapy Institute Of Individual, Family & Community Development - NPI 1063565745
Psychotherapy Institute Of Individual, Family & Community Development is a Clinical in Antioch, California. Psychotherapy Institute Of Individual, Family & Community Development practices all healthcare services and medical treatments related to Clinical. The NPI Number for Psychotherapy Institute Of Individual, Family & Community Development is 1063565745. The last update date is 2020-08-22.
Psychotherapy Institute Of Individual, Family & Community Development's current location address is 509 W 10th St, Antioch, California. You can contact this provider via phone number 9257779540 and fax number 9257579024. The mailing address for Psychotherapy Institute Of Individual, Family & Community Development is 509 W 10th St, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychotherapy Institute Of Individual, Family & Community Development |
|---|---|
| Address | 509 W 10th St, Antioch, California |
| Phone Number | 9257779540 |
| Fax Number | 9257579024 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Robinson A Wesley |
| Credentials | PH.D. |
| Telephone Number | 9257779540 |
NPI Number Detail
| NPI Number | 1063565745 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 509 W 10th St |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945091653 |
| Phone Number | 9257779540 |
| Fax Number | 9257579024 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY15066 |
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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 Psychotherapy Institute Of Individual, Family & Community Development by the Centers for Medicare & Medicaid Services?
The Psychotherapy Institute Of Individual, Family & Community Development has been assigned the NPI (National Provider Identifier) 1063565745 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Psychotherapy Institute Of Individual, Family & Community Development is located?
The Psychotherapy Institute Of Individual, Family & Community Development is situated at the following address: 509 W 10Th St, Antioch, CA, 945091653.
What is the Psychotherapy Institute Of Individual, Family & Community Development's specialty and taxonomy code?
The Psychotherapy Institute Of Individual, Family & Community Development's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Psychotherapy Institute Of Individual, Family & Community Development receive its 1063565745 assignment?
The Psychotherapy Institute Of Individual, Family & Community Development was assigned its 1063565745 on 2007-01-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Psychotherapy Institute Of Individual, Family & Community Development, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Psychotherapy Institute Of Individual, Family & Community Development, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.