Robert Wilson Deloatch in Atlanta - Clinical Child & Adolescent
Robert Wilson Deloatch - NPI 1144347667
Robert Wilson Deloatch is a Clinical Child & Adolescent in Atlanta, Georgia. Robert Wilson Deloatch practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Robert Wilson Deloatch is 1144347667. The last update date is 2007-07-08.
Robert Wilson Deloatch's current location address is 5260 Campbellton Rd Sw, Atlanta, Georgia. You can contact this provider via phone number 4043493049 and fax number 4043466141. The mailing address for Robert Wilson Deloatch is 5260 Campbellton Rd Sw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Wilson Deloatch |
|---|---|
| Address | 5260 Campbellton Rd Sw, Atlanta, Georgia |
| Phone Number | 4043493049 |
| Fax Number | 4043466141 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1144347667 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5260 Campbellton Rd Sw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303317712 |
| Phone Number | 4043493049 |
| Fax Number | 4043466141 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 62419 |
|
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 Robert Wilson Deloatch's unique identification number?
The Robert Wilson Deloatch has been assigned the NPI (National Provider Identifier) Number 1144347667 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Robert Wilson Deloatch?
The Robert Wilson Deloatch is situated at 5260 Campbellton Rd Sw, in the city of Atlanta, state of GA, with the zip code 303317712.
What is Robert Wilson Deloatch's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Wilson Deloatch'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 the Robert Wilson Deloatch receive the assignment of its 1144347667 from the Centers for Medicare & Medicaid Services?
The Robert Wilson Deloatch was issued its 1144347667 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the Robert Wilson Deloatch's information last updated?
The Robert Wilson Deloatch's information was last updated on 2007-07-08.
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