Keely Waters Kaklaman in Tallahassee - Clinical Child & Adolescent
Keely Waters Kaklaman - NPI 1811029283
Keely Waters Kaklaman is a Clinical Child & Adolescent in Tallahassee, Florida. Keely Waters Kaklaman practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Keely Waters Kaklaman is 1811029283. The last update date is 2012-05-07.
Keely Waters Kaklaman's current location address is 1311 Covington Dr, Tallahassee, Florida. You can contact this provider via phone number 8509060331. The mailing address for Keely Waters Kaklaman is 1311 Covington Dr, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keely Waters Kaklaman |
|---|---|
| Address | 1311 Covington Dr, Tallahassee, Florida |
| Phone Number | 8509060331 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1811029283 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2012-05-07 |
Provider Mailing Address Detail
| Address | 1311 Covington Dr |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 323122504 |
| Phone Number | 8509060331 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PY7401 |
|
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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What is the unique 10-digit identifier code assigned to Keely Waters Kaklaman by the Centers for Medicare & Medicaid Services?
The Keely Waters Kaklaman has been issued the NPI (National Provider Identifier) 1811029283 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Keely Waters Kaklaman?
The Keely Waters Kaklaman is physically situated at 1311 Covington Dr, in the city of Tallahassee, state of FL, with the postal code 323122504.
What is Keely Waters Kaklaman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Keely Waters Kaklaman is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date did Keely Waters Kaklaman receive its 1811029283 assignment from the Centers for Medicare & Medicaid Services?
The Keely Waters Kaklaman was assigned its 1811029283 on 2007-03-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Keely Waters Kaklaman most recently updated or revised?
The information pertaining to Keely Waters Kaklaman, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-07.
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