Patricia Jane Micklos in Waco - Clinical
Patricia Jane Micklos - NPI 1033110812
Patricia Jane Micklos is a Clinical in Waco, Texas. Patricia Jane Micklos practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Jane Micklos is 1033110812. The last update date is 2007-07-08.
Patricia Jane Micklos's current location address is 900 Austin Ave, Waco, Texas. You can contact this provider via phone number 2547537444 and fax number 2547141737. The mailing address for Patricia Jane Micklos is 900 Austin Ave, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Jane Micklos |
|---|---|
| Address | 900 Austin Ave, Waco, Texas |
| Phone Number | 2547537444 |
| Fax Number | 2547141737 |
| Sole Proprietor | X |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1033110812 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 900 Austin Ave |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767011902 |
| Phone Number | 2547537444 |
| Fax Number | 2547141737 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 22596 |
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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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What is the unique 10-digit identification code issued to Patricia Jane Micklos by the Centers for Medicare & Medicaid Services?
The Patricia Jane Micklos has been assigned the NPI (National Provider Identifier) 1033110812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Patricia Jane Micklos located?
The Patricia Jane Micklos is located at 900 Austin Ave, Waco, TX 767011902.
What is Patricia Jane Micklos's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia Jane Micklos's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Patricia Jane Micklos receive its 1033110812 assignment from the Centers for Medicare & Medicaid Services?
The Patricia Jane Micklos was assigned its 1033110812 on 2005-08-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Patricia Jane Micklos most recently updated?
The details pertaining to the Patricia Jane Micklos, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.