Mary V Gwaltney in Sacramento - Clinical Child & Adolescent

Mary V Gwaltney - NPI 1609037910

Mary V Gwaltney is a Clinical Child & Adolescent in Sacramento, California. Mary V Gwaltney practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Mary V Gwaltney is 1609037910. The last update date is 2012-10-03.

Mary V Gwaltney's current location address is 3416 American River Dr, Sacramento, California. You can contact this provider via phone number 9169729400 and fax number 9169729500. The mailing address for Mary V Gwaltney is 3416 American River Dr, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary V Gwaltney
Address 3416 American River Dr, Sacramento, California
Phone Number 9169729400
Fax Number 9169729500
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1609037910
Provider Enumeration Date 2008-06-19
Last Updated Date 2012-10-03

Provider Mailing Address Detail

Address 3416 American River Dr
City Sacramento
State California (CA)
Post Code 958645753
Phone Number 9169729400
Fax Number 9169729500

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No LEP2540
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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FAQs about Mary V Gwaltney

What is the Mary V Gwaltney's 1609037910?

The Mary V Gwaltney's NPI (National Provider Identifier) Number is 1609037910. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mary V Gwaltney is physically located?

The Mary V Gwaltney is physically situated at the following address: 3416 American River Dr, Sacramento, CA, 958645753.

What is Mary V Gwaltney's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary V Gwaltney is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.

On what date did the Mary V Gwaltney receive the assignment of its 1609037910 from the Centers for Medicare & Medicaid Services?

The Mary V Gwaltney was issued its 1609037910 by the Centers for Medicare & Medicaid Services on 2008-06-19.

As of what date was the information regarding Mary V Gwaltney, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary V Gwaltney, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-03.

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