Jodie Marie Ambrosino in New Haven - Clinical Child & Adolescent

Jodie Marie Ambrosino - NPI 1669670915

Jodie Marie Ambrosino is a Clinical Child & Adolescent in New Haven, Connecticut. Jodie Marie Ambrosino practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jodie Marie Ambrosino is 1669670915. The last update date is 2007-09-26.

Jodie Marie Ambrosino's current location address is 2 Church St S, New Haven, Connecticut. You can contact this provider via phone number 2037855282 and fax number 2037646748. The mailing address for Jodie Marie Ambrosino is 2 Church St S, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Jodie Marie Ambrosino
Address 2 Church St S, New Haven, Connecticut
Phone Number 2037855282
Fax Number 2037646748
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1669670915
Provider Enumeration Date 2007-07-10
Last Updated Date 2007-09-26

Provider Mailing Address Detail

Address 2 Church St S
City New Haven
State Connecticut (CT)
Post Code 65191717
Phone Number 2037855282
Fax Number 2037646748

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 2646
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 Jodie Marie Ambrosino

What is the unique 10-digit identification code assigned to Jodie Marie Ambrosino by the Centers for Medicare & Medicaid Services?

The Jodie Marie Ambrosino has been issued the NPI (National Provider Identifier) 1669670915, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jodie Marie Ambrosino?

The Jodie Marie Ambrosino is situated at 2 Church St S, in the city of New Haven, state of CT, with the zip code 65191717.

What is Jodie Marie Ambrosino's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jodie Marie Ambrosino is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1669670915 to Jodie Marie Ambrosino?

The Centers for Medicare & Medicaid Services originally issued the 1669670915 to Jodie Marie Ambrosino on 2007-07-10.

As of what date were the details related to Jodie Marie Ambrosino most recently updated or revised?

The information pertaining to Jodie Marie Ambrosino, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-26.

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