Gloria Jennings Waterhouse in Sandpoint - Clinical
Gloria Jennings Waterhouse - NPI 1174702385
Gloria Jennings Waterhouse is a Clinical in Sandpoint, Idaho. Gloria Jennings Waterhouse practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gloria Jennings Waterhouse is 1174702385. The last update date is 2010-11-16.
Gloria Jennings Waterhouse's current location address is 100 N 1st Ave, Sandpoint, Idaho. You can contact this provider via phone number 2082632040. The mailing address for Gloria Jennings Waterhouse is 100 N 1st Ave, Sandpoint, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gloria Jennings Waterhouse |
---|---|
Address | 100 N 1st Ave, Sandpoint, Idaho |
Phone Number | 2082632040 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PHD |
NPI Number Detail
NPI Number | 1174702385 |
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Provider Enumeration Date | 2007-10-24 |
Last Updated Date | 2010-11-16 |
Provider Mailing Address Detail
Address | 100 N 1st Ave |
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City | Sandpoint |
State | Idaho (ID) |
Post Code | 838641376 |
Phone Number | 2082632040 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PSY202071 |
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 |
---|---|---|---|
10139177 | ID | REGENCE | |
806574200 | ID | -- | |
N5327 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gloria Jennings Waterhouse by the Centers for Medicare & Medicaid Services?
The Gloria Jennings Waterhouse has been issued the NPI (National Provider Identifier) 1174702385, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gloria Jennings Waterhouse?
The Gloria Jennings Waterhouse is situated at 100 N 1St Ave, in the city of Sandpoint, state of ID, with the zip code 838641376.
What is Gloria Jennings Waterhouse's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gloria Jennings Waterhouse is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did Gloria Jennings Waterhouse receive its 1174702385 assignment from the Centers for Medicare & Medicaid Services?
The Gloria Jennings Waterhouse was assigned its 1174702385 on 2007-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gloria Jennings Waterhouse's details last updated?
The information pertaining to the Gloria Jennings Waterhouse, including its address, specialty, and other details, was most recently updated on 2010-11-16.
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