Psychotherapy Institute Of Individual, Family & Community Development in Antioch - Clinical Child & Adolescent
Psychotherapy Institute Of Individual, Family & Community Development - NPI 1063565745
Psychotherapy Institute Of Individual, Family & Community Development is a Clinical Child & Adolescent in Antioch, California. Psychotherapy Institute Of Individual, Family & Community Development practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Psychotherapy Institute Of Individual, Family & Community Development is 1063565745. The last update date is 2020-08-22.
Psychotherapy Institute Of Individual, Family & Community Development's current location address is 509 W 10th St, Antioch, California. You can contact this provider via phone number 9257779540 and fax number 9257579024. The mailing address for Psychotherapy Institute Of Individual, Family & Community Development is 509 W 10th St, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychotherapy Institute Of Individual, Family & Community Development |
|---|---|
| Address | 509 W 10th St, Antioch, California |
| Phone Number | 9257779540 |
| Fax Number | 9257579024 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Robinson A Wesley |
| Credentials | PH.D. |
| Telephone Number | 9257779540 |
NPI Number Detail
| NPI Number | 1063565745 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 509 W 10th St |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945091653 |
| Phone Number | 9257779540 |
| Fax Number | 9257579024 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY15066 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identifier code issued to Psychotherapy Institute Of Individual, Family & Community Development by the Centers for Medicare & Medicaid Services?
The Psychotherapy Institute Of Individual, Family & Community Development has been assigned the NPI (National Provider Identifier) 1063565745 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Psychotherapy Institute Of Individual, Family & Community Development is located?
The Psychotherapy Institute Of Individual, Family & Community Development is situated at the following address: 509 W 10Th St, Antioch, CA, 945091653.
What is the Psychotherapy Institute Of Individual, Family & Community Development's specialty and taxonomy code?
The Psychotherapy Institute Of Individual, Family & Community Development's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
When did Psychotherapy Institute Of Individual, Family & Community Development receive its 1063565745 assignment?
The Psychotherapy Institute Of Individual, Family & Community Development was assigned its 1063565745 on 2007-01-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Psychotherapy Institute Of Individual, Family & Community Development, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Psychotherapy Institute Of Individual, Family & Community Development, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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