Mark Ellis Litynsky in Modesto - Clinical
Mark Ellis Litynsky - NPI 1205937489
Mark Ellis Litynsky is a Clinical in Modesto, California. Mark Ellis Litynsky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Ellis Litynsky is 1205937489. The last update date is 2013-09-03.
Mark Ellis Litynsky's current location address is 3425 Coffee Rd, Modesto, California. You can contact this provider via phone number 2095249401. The mailing address for Mark Ellis Litynsky is 3425 Coffee Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Ellis Litynsky |
|---|---|
| Address | 3425 Coffee Rd, Modesto, California |
| Phone Number | 2095249401 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1205937489 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2013-09-03 |
Provider Mailing Address Detail
| Address | 3425 Coffee Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953551582 |
| Phone Number | 2095249401 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 7499 |
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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 identifier code issued to Mark Ellis Litynsky by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Ellis Litynsky has been assigned the NPI (National Provider Identifier) 1205937489. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mark Ellis Litynsky is physically located?
The Mark Ellis Litynsky is situated at the following address: 3425 Coffee Rd, Modesto, CA 953551582.
What is Mark Ellis Litynsky's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Ellis Litynsky is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205937489 to Mark Ellis Litynsky?
The Centers for Medicare & Medicaid Services originally issued the 1205937489 to Mark Ellis Litynsky on 2006-09-26.
As of what date were the Mark Ellis Litynsky's details last updated?
The information pertaining to the Mark Ellis Litynsky, including its address, specialty, and other details, was most recently updated on 2013-09-03.
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