Leticia C Amick in Glendale - Clinical Child & Adolescent
Leticia C Amick - NPI 1063490514
Leticia C Amick is a Clinical Child & Adolescent in Glendale, California. Leticia C Amick practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Leticia C Amick is 1063490514. The last update date is 2014-04-02.
Leticia C Amick's current location address is 121 W Lexington Dr, Glendale, California. You can contact this provider via phone number 8184806517. The mailing address for Leticia C Amick is 121 W Lexington Dr, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leticia C Amick |
|---|---|
| Address | 121 W Lexington Dr, Glendale, California |
| Phone Number | 8184806517 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1063490514 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2014-04-02 |
Provider Mailing Address Detail
| Address | 121 W Lexington Dr |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912032203 |
| Phone Number | 8184806517 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 3497 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GV818Z | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Leticia C Amick by the Centers for Medicare & Medicaid Services?
The Leticia C Amick has been issued the NPI (National Provider Identifier) 1063490514. 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 physical address where Leticia C Amick is located?
The Leticia C Amick is situated at the following address: 121 W Lexington Dr, Glendale, CA, 912032203.
What is Leticia C Amick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leticia C Amick's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
When did Leticia C Amick receive its 1063490514 assignment?
The Leticia C Amick was assigned its 1063490514 on 2006-01-05, which is the date when this unique identifier was issued to the organization.
As of what date were the Leticia C Amick's details last updated?
The information pertaining to the Leticia C Amick, including its address, specialty, and other details, was most recently updated on 2014-04-02.
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