Eli Matthew Van Dusen in San Diego - Clinical
Eli Matthew Van Dusen - NPI 1518126010
Eli Matthew Van Dusen is a Clinical in San Diego, California. Eli Matthew Van Dusen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eli Matthew Van Dusen is 1518126010. The last update date is 2021-12-09.
Eli Matthew Van Dusen's current location address is 9465 Farnham St, San Diego, California. You can contact this provider via phone number 8585732600 and fax number 8585730982. The mailing address for Eli Matthew Van Dusen is 9465 Farnham St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eli Matthew Van Dusen |
|---|---|
| Address | 9465 Farnham St, San Diego, California |
| Phone Number | 8585732600 |
| Fax Number | 8585730982 |
| Sole Proprietor | Y |
| Credentials | PSY D, LMF |
NPI Number Detail
| NPI Number | 1518126010 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2021-12-09 |
Provider Mailing Address Detail
| Address | 9465 Farnham St |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921231308 |
| Phone Number | 8585732600 |
| Fax Number | 8585730982 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 32823 |
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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 assigned to Eli Matthew Van Dusen by the Centers for Medicare & Medicaid Services?
The Eli Matthew Van Dusen has been issued the NPI (National Provider Identifier) 1518126010 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Eli Matthew Van Dusen?
The Eli Matthew Van Dusen is situated at 9465 Farnham St, in the city of San Diego, state of CA, with the zip code 921231308.
What is Eli Matthew Van Dusen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eli Matthew Van Dusen's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When was the Eli Matthew Van Dusen's 1518126010 issued?
The Eli Matthew Van Dusen's 1518126010 was issued on 2008-06-09.
When was the information pertaining to Eli Matthew Van Dusen most recently updated or revised?
The details related to Eli Matthew Van Dusen, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-09.