Timothy Dane Durick in Visalia - Clinical
Timothy Dane Durick - NPI 1114097003
Timothy Dane Durick is a Clinical in Visalia, California. Timothy Dane Durick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Dane Durick is 1114097003. The last update date is 2016-12-01.
Timothy Dane Durick's current location address is 5957 S Mooney Blvd, Visalia, California. You can contact this provider via phone number 5597374669 and fax number 5597374697. The mailing address for Timothy Dane Durick is 5957 S Mooney Blvd, Visalia, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Dane Durick |
|---|---|
| Address | 5957 S Mooney Blvd, Visalia, California |
| Phone Number | 5597374669 |
| Fax Number | 5597374697 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1114097003 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2016-12-01 |
Provider Mailing Address Detail
| Address | 5957 S Mooney Blvd |
|---|---|
| City | Visalia |
| State | California (CA) |
| Post Code | 932779394 |
| Phone Number | 5597374669 |
| Fax Number | 5597374697 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY16229 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Timothy Dane Durick by the Centers for Medicare & Medicaid Services?
The Timothy Dane Durick has been issued the NPI (National Provider Identifier) 1114097003 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Timothy Dane Durick is located?
The Timothy Dane Durick is situated at the following address: 5957 S Mooney Blvd, Visalia, CA, 932779394.
What is the area of specialization for Timothy Dane Durick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy Dane Durick is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114097003 to Timothy Dane Durick?
The Timothy Dane Durick received its 1114097003 assignment from the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date were the details pertaining to Timothy Dane Durick last refreshed?
The information related to the Timothy Dane Durick, including its address, specialty, and other relevant details, was last updated on 2016-12-01.
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