Mark D Poloway is a Clinical in Carlsbad, California. Mark D Poloway practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark D Poloway is 1457438624. The last update date is 2016-12-28.
Mark D Poloway's current location address is 4006 Isle Dr, Carlsbad, California. You can contact this provider via phone number 7606125490 and fax number 7608593002. The mailing address for Mark D Poloway is 4006 Isle Dr, Carlsbad, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark D Poloway |
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Address | 4006 Isle Dr, Carlsbad, California |
Phone Number | 7606125490 |
Fax Number | 7608593002 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1457438624 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2016-12-28 |
Provider Mailing Address Detail
Address | 4006 Isle Dr |
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City | Carlsbad |
State | California (CA) |
Post Code | 920083615 |
Phone Number | 7606125490 |
Fax Number | 7608593002 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PSY8883 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PK00088830 | CA | -- |
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What is the unique 10-digit identification code issued to Mark D Poloway by the Centers for Medicare & Medicaid Services?
The Mark D Poloway has been assigned the NPI (National Provider Identifier) 1457438624 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mark D Poloway's physical address?
The Mark D Poloway is physically located at 4006 Isle Dr, in the city of Carlsbad, CA, with the postal code 920083615.
What is Mark D Poloway's area of expertise and its corresponding taxonomy classification?
The Mark D Poloway's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1457438624 to Mark D Poloway?
The Mark D Poloway received its 1457438624 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information pertaining to Mark D Poloway most recently updated or revised?
The details related to Mark D Poloway, including its address, specialty, and other relevant information, were last updated or revised on 2016-12-28.
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