Dsw Behaviorial Health Center in Crestview - Clinical Child & Adolescent

Dsw Behaviorial Health Center - NPI 1902088727

Dsw Behaviorial Health Center is a Clinical Child & Adolescent in Crestview, Florida. Dsw Behaviorial Health Center practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Dsw Behaviorial Health Center is 1902088727. The last update date is 2007-12-04.

Dsw Behaviorial Health Center's current location address is 608 Jeremy Ct, Crestview, Florida. You can contact this provider via phone number 8505859492 and fax number 8506892617. The mailing address for Dsw Behaviorial Health Center is 608 Jeremy Ct, Crestview, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dsw Behaviorial Health Center
Address 608 Jeremy Ct, Crestview, Florida
Phone Number 8505859492
Fax Number 8506892617
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Wright Madelene Shirley
Telephone Number 8505859492

NPI Number Detail

NPI Number 1902088727
Provider Enumeration Date 2007-12-04
Last Updated Date 2007-12-04

Provider Mailing Address Detail

Address 608 Jeremy Ct
City Crestview
State Florida (FL)
Post Code 325396941
Phone Number 8505859492
Fax Number 8506892617

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
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 Dsw Behaviorial Health Center

What is the unique 10-digit identifier code issued to Dsw Behaviorial Health Center by the Centers for Medicare & Medicaid Services?

The Dsw Behaviorial Health Center has been assigned the NPI (National Provider Identifier) 1902088727 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Dsw Behaviorial Health Center is physically located?

The Dsw Behaviorial Health Center is situated at the following address: 608 Jeremy Ct, Crestview, FL 325396941.

What is Dsw Behaviorial Health Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dsw Behaviorial Health Center's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.

On what date did Dsw Behaviorial Health Center receive its 1902088727 assignment from the Centers for Medicare & Medicaid Services?

The Dsw Behaviorial Health Center was assigned its 1902088727 on 2007-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Dsw Behaviorial Health Center most recently updated?

The details pertaining to the Dsw Behaviorial Health Center, including its address, specialty, and other relevant information, were last refreshed on 2007-12-04.

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