Zena Denise Polly in Irvine - Clinical Child & Adolescent
Zena Denise Polly - NPI 1063632313
Zena Denise Polly is a Clinical Child & Adolescent in Irvine, California. Zena Denise Polly practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Zena Denise Polly is 1063632313. The last update date is 2009-01-07.
Zena Denise Polly's current location address is 111 Pacifica, Irvine, California. You can contact this provider via phone number 9494508270 and fax number 9494508270. The mailing address for Zena Denise Polly is 111 Pacifica, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Zena Denise Polly |
|---|---|
| Address | 111 Pacifica, Irvine, California |
| Phone Number | 9494508270 |
| Fax Number | 9494508270 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1063632313 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2009-01-07 |
Provider Mailing Address Detail
| Address | 111 Pacifica |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926187420 |
| Phone Number | 9494508270 |
| Fax Number | 9494508270 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY 10702 |
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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 Zena Denise Polly by the Centers for Medicare & Medicaid Services?
The Zena Denise Polly has been assigned the NPI (National Provider Identifier) 1063632313 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Zena Denise Polly located?
The Zena Denise Polly is located at 111 Pacifica, Irvine, CA 926187420.
What is the Zena Denise Polly's specialty and taxonomy code?
The Zena Denise Polly's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063632313 to Zena Denise Polly?
The Zena Denise Polly received its 1063632313 assignment from the Centers for Medicare & Medicaid Services on 2007-04-27.
As of what date were the details related to Zena Denise Polly most recently updated or revised?
The information pertaining to Zena Denise Polly, including its address, specialty, and other relevant details, was last updated or revised on 2009-01-07.