Allison Marie Deatherage in Charleston Afb - Clinical
Allison Marie Deatherage - NPI 1659585099
Allison Marie Deatherage is a Clinical in Charleston Afb, South Carolina. Allison Marie Deatherage practices all healthcare services and medical treatments related to Clinical. The NPI Number for Allison Marie Deatherage is 1659585099. The last update date is 2020-11-20.
Allison Marie Deatherage's current location address is 204 W Hill Blvd, Charleston Afb, South Carolina. You can contact this provider via phone number 8439636852. The mailing address for Allison Marie Deatherage is 204 W Hill Blvd, Charleston Afb, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allison Marie Deatherage |
|---|---|
| Address | 204 W Hill Blvd, Charleston Afb, South Carolina |
| Phone Number | 8439636852 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1659585099 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-11-20 |
Provider Mailing Address Detail
| Address | 204 W Hill Blvd |
|---|---|
| City | Charleston Afb |
| State | South Carolina (SC) |
| Post Code | 294044704 |
| Phone Number | 8439636852 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7351 |
|
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 |
|---|---|---|---|
| 2614899 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Allison Marie Deatherage?
The Allison Marie Deatherage has been issued the NPI (National Provider Identifier) 1659585099 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Allison Marie Deatherage located?
The Allison Marie Deatherage is located at 204 W Hill Blvd, Charleston Afb, SC 294044704.
What is Allison Marie Deatherage's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Allison Marie Deatherage is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the Allison Marie Deatherage's 1659585099 issued?
The Allison Marie Deatherage's 1659585099 was issued on 2007-05-09.
As of what date were the details pertaining to Allison Marie Deatherage last refreshed?
The information related to the Allison Marie Deatherage, including its address, specialty, and other relevant details, was last updated on 2020-11-20.
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