Mary Jane Elliott in Winston Salem - Clinical
Mary Jane Elliott - NPI 1982825865
Mary Jane Elliott is a Clinical in Winston Salem, North Carolina. Mary Jane Elliott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Jane Elliott is 1982825865. The last update date is 2010-08-17.
Mary Jane Elliott's current location address is 3779 Vest Mill Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3367680919 and fax number 3367409135. The mailing address for Mary Jane Elliott is 3779 Vest Mill Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Elliott |
|---|---|
| Address | 3779 Vest Mill Rd, Winston Salem, North Carolina |
| Phone Number | 3367680919 |
| Fax Number | 3367409135 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1982825865 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2010-08-17 |
Provider Mailing Address Detail
| Address | 3779 Vest Mill Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271032991 |
| Phone Number | 3367680919 |
| Fax Number | 3367409135 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 18853 |
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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 |
|---|---|---|---|
| 6001212 | NC | -- |
Post Comment/ Review Below
What is the Mary Jane Elliott's unique identification number?
The Mary Jane Elliott has been assigned the NPI (National Provider Identifier) Number 1982825865 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mary Jane Elliott?
The Mary Jane Elliott is situated at 3779 Vest Mill Rd, in the city of Winston Salem, state of NC, with the zip code 271032991.
What is Mary Jane Elliott's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Jane Elliott is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Mary Jane Elliott receive its 1982825865 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jane Elliott was assigned its 1982825865 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mary Jane Elliott most recently updated or refreshed?
The details pertaining to the Mary Jane Elliott, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-17.
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