Regents Of The University Of Idaho Child & Youth Study Center in Moscow - Clinical Child & Adolescent
Regents Of The University Of Idaho Child & Youth Study Center - NPI 1609902980
Regents Of The University Of Idaho Child & Youth Study Center is a Clinical Child & Adolescent in Moscow, Idaho. Regents Of The University Of Idaho Child & Youth Study Center practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Regents Of The University Of Idaho Child & Youth Study Center is 1609902980. The last update date is 2014-04-01.
Regents Of The University Of Idaho Child & Youth Study Center's current location address is 121 West Sweet Avenue, Moscow, Idaho. You can contact this provider via phone number 2088856191 and fax number 2088856188. The mailing address for Regents Of The University Of Idaho Child & Youth Study Center is 121 West Sweet Avenue, Moscow, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Regents Of The University Of Idaho Child & Youth Study Center |
|---|---|
| Address | 121 West Sweet Avenue, Moscow, Idaho |
| Phone Number | 2088856191 |
| Fax Number | 2088856188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Mitchell Elaine Gwen |
| Credentials | LPC, NCSP |
| Telephone Number | 2088856191 |
NPI Number Detail
| NPI Number | 1609902980 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2014-04-01 |
Provider Mailing Address Detail
| Address | 121 West Sweet Avenue |
|---|---|
| City | Moscow |
| State | Idaho (ID) |
| Post Code | 83843 |
| Phone Number | 2088856191 |
| Fax Number | 2088856188 |
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 |
|---|---|---|---|
| 807220700 | ID | -- |
Post Comment/ Review Below
What is the Regents Of The University Of Idaho Child & Youth Study Center's unique identification number?
The Regents Of The University Of Idaho Child & Youth Study Center has been assigned the NPI (National Provider Identifier) Number 1609902980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Regents Of The University Of Idaho Child & Youth Study Center's facilities are situated?
The facilities of Regents Of The University Of Idaho Child & Youth Study Center are physically located at the following address: 121 West Sweet Avenue, Moscow, ID, 83843.
What is Regents Of The University Of Idaho Child & Youth Study Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Regents Of The University Of Idaho Child & Youth Study Center is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.
On what date did the Regents Of The University Of Idaho Child & Youth Study Center receive the assignment of its 1609902980 from the Centers for Medicare & Medicaid Services?
The Regents Of The University Of Idaho Child & Youth Study Center was issued its 1609902980 by the Centers for Medicare & Medicaid Services on 2007-02-23.
As of what date was the information pertaining to Regents Of The University Of Idaho Child & Youth Study Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Regents Of The University Of Idaho Child & Youth Study Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-01.
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