Clayton Mhddad in Riverdale - Clinical Child & Adolescent
Clayton Mhddad - NPI 1639367543
Clayton Mhddad is a Clinical Child & Adolescent in Riverdale, Georgia. Clayton Mhddad practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Clayton Mhddad is 1639367543. The last update date is 2011-11-08.
Clayton Mhddad's current location address is 6315 Garden Walk Blvd, Riverdale, Georgia. You can contact this provider via phone number 7709917420 and fax number 7709917429. The mailing address for Clayton Mhddad is 6315 Garden Walk Blvd, Riverdale, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Mhddad |
|---|---|
| Address | 6315 Garden Walk Blvd, Riverdale, Georgia |
| Phone Number | 7709917420 |
| Fax Number | 7709917429 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXCUTIVE D |
|---|---|
| Authorized Official Name | Cole Terry |
| Telephone Number | 7704782280 |
NPI Number Detail
| NPI Number | 1639367543 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2011-11-08 |
Provider Mailing Address Detail
| Address | 6315 Garden Walk Blvd |
|---|---|
| City | Riverdale |
| State | Georgia (GA) |
| Post Code | 302742628 |
| Phone Number | 7709917420 |
| Fax Number | 7709917429 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000604250B | GA | -- | |
| 00604205B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clayton Mhddad by the Centers for Medicare & Medicaid Services?
The Clayton Mhddad has been assigned the NPI (National Provider Identifier) 1639367543 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Clayton Mhddad's facilities are situated?
The facilities of Clayton Mhddad are physically located at the following address: 6315 Garden Walk Blvd, Riverdale, GA, 302742628.
What is Clayton Mhddad's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Clayton Mhddad'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 Centers for Medicare & Medicaid Services issue the 1639367543 to Clayton Mhddad?
The Clayton Mhddad received its 1639367543 assignment from the Centers for Medicare & Medicaid Services on 2007-10-05.
When was the information regarding Clayton Mhddad, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clayton Mhddad, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-08.
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