Micah Osborne Mazurek in Columbia - Clinical
Micah Osborne Mazurek - NPI 1164575965
Micah Osborne Mazurek is a Clinical in Columbia, Missouri. Micah Osborne Mazurek practices all healthcare services and medical treatments related to Clinical. The NPI Number for Micah Osborne Mazurek is 1164575965. The last update date is 2010-10-28.
Micah Osborne Mazurek's current location address is 205 Portland St, Columbia, Missouri. You can contact this provider via phone number 5738848502 and fax number 5738846421. The mailing address for Micah Osborne Mazurek is 205 Portland St, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Micah Osborne Mazurek |
|---|---|
| Address | 205 Portland St, Columbia, Missouri |
| Phone Number | 5738848502 |
| Fax Number | 5738846421 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1164575965 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2010-10-28 |
Provider Mailing Address Detail
| Address | 205 Portland St |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652016521 |
| Phone Number | 5738848502 |
| Fax Number | 5738846421 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2006016143 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11616561 | MO | CAQH PROVIDER ID |
Post Comment/ Review Below
What is the unique identification code assigned to Micah Osborne Mazurek by the Centers for Medicare & Medicaid Services?
The Micah Osborne Mazurek has been issued the NPI (National Provider Identifier) 1164575965. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Micah Osborne Mazurek is physically located?
The Micah Osborne Mazurek is situated at the following address: 205 Portland St, Columbia, MO 652016521.
What is Micah Osborne Mazurek'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 Micah Osborne Mazurek is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Micah Osborne Mazurek receive its 1164575965 assignment from the Centers for Medicare & Medicaid Services?
The Micah Osborne Mazurek was assigned its 1164575965 by the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date was the information pertaining to Micah Osborne Mazurek, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Micah Osborne Mazurek, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-10-28.
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