Timothy T. Wysocki in Jacksonville - Clinical Child & Adolescent
Timothy T. Wysocki - NPI 1205847738
Timothy T. Wysocki is a Clinical Child & Adolescent in Jacksonville, Florida. Timothy T. Wysocki practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Timothy T. Wysocki is 1205847738. The last update date is 2011-09-02.
Timothy T. Wysocki's current location address is 807 Childrens Way, Jacksonville, Florida. You can contact this provider via phone number 9043903785 and fax number 9043903512. The mailing address for Timothy T. Wysocki is 807 Childrens Way, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy T. Wysocki |
|---|---|
| Address | 807 Childrens Way, Jacksonville, Florida |
| Phone Number | 9043903785 |
| Fax Number | 9043903512 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1205847738 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2011-09-02 |
Provider Mailing Address Detail
| Address | 807 Childrens Way |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078426 |
| Phone Number | 9043903785 |
| Fax Number | 9043903512 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PY4811 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000546202A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Timothy T. Wysocki by the Centers for Medicare & Medicaid Services?
The Timothy T. Wysocki has been issued the NPI (National Provider Identifier) 1205847738. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Timothy T. Wysocki?
The Timothy T. Wysocki is physically situated at 807 Childrens Way, in the city of Jacksonville, state of FL, with the postal code 322078426.
What is Timothy T. Wysocki's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy T. Wysocki is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.
When did Timothy T. Wysocki receive its 1205847738 assignment?
The Timothy T. Wysocki was assigned its 1205847738 on 2006-08-10, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Timothy T. Wysocki, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Timothy T. Wysocki, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-09-02.