Michael Lee Stanfill in San Diego - Clinical Child & Adolescent

Michael Lee Stanfill - NPI 1487835203

Michael Lee Stanfill is a Clinical Child & Adolescent in San Diego, California. Michael Lee Stanfill practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Michael Lee Stanfill is 1487835203. The last update date is 2012-07-25.

Michael Lee Stanfill's current location address is 11878 Avenue Of Industry, San Diego, California. You can contact this provider via phone number 8586754200. The mailing address for Michael Lee Stanfill is 11878 Avenue Of Industry, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Lee Stanfill
Address 11878 Avenue Of Industry, San Diego, California
Phone Number 8586754200
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1487835203
Provider Enumeration Date 2007-11-20
Last Updated Date 2012-07-25

Provider Mailing Address Detail

Address 11878 Avenue Of Industry
City San Diego
State California (CA)
Post Code 921283423
Phone Number 8586754200
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PY60273012
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
PY60273012 WA PSYCHOLOGY LICENSE

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FAQs about Michael Lee Stanfill

What is the unique identifier code issued to Michael Lee Stanfill by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Lee Stanfill has been assigned the NPI (National Provider Identifier) 1487835203. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Michael Lee Stanfill?

The Michael Lee Stanfill is physically situated at 11878 Avenue Of Industry, in the city of San Diego, state of CA, with the postal code 921283423.

What is the area of specialization for Michael Lee Stanfill, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael Lee Stanfill is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

On what date did the Michael Lee Stanfill receive its 1487835203 assignment from the Centers for Medicare & Medicaid Services?

The Michael Lee Stanfill was assigned its 1487835203 by the Centers for Medicare & Medicaid Services on 2007-11-20.

When was the information pertaining to Michael Lee Stanfill most recently updated or revised?

The details related to Michael Lee Stanfill, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-25.

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