Myra Dorene West in Park Forest - Clinical Child & Adolescent
Myra Dorene West - NPI 1225224827
Myra Dorene West is a Clinical Child & Adolescent in Park Forest, Illinois. Myra Dorene West practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Myra Dorene West is 1225224827. The last update date is 2010-04-09.
Myra Dorene West's current location address is 200 Lakewood Blvd, Park Forest, Illinois. You can contact this provider via phone number 7084819799 and fax number 7084819951. The mailing address for Myra Dorene West is 200 Lakewood Blvd, Park Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myra Dorene West |
|---|---|
| Address | 200 Lakewood Blvd, Park Forest, Illinois |
| Phone Number | 7084819799 |
| Fax Number | 7084819951 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1225224827 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2010-04-09 |
Provider Mailing Address Detail
| Address | 200 Lakewood Blvd |
|---|---|
| City | Park Forest |
| State | Illinois (IL) |
| Post Code | 604661718 |
| Phone Number | 7084819799 |
| Fax Number | 7084819951 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 71007264 |
|
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Myra Dorene West?
The Myra Dorene West has been issued the NPI (National Provider Identifier) 1225224827 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Myra Dorene West's facilities are geographically located?
The facilities of Myra Dorene West are physically situated at the following location: 200 Lakewood Blvd, Park Forest, IL, 604661718.
What is Myra Dorene West's area of expertise and its corresponding taxonomy classification?
The Myra Dorene West's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Myra Dorene West receive its 1225224827 assignment from the Centers for Medicare & Medicaid Services?
The Myra Dorene West was assigned its 1225224827 by the Centers for Medicare & Medicaid Services on 2007-09-18.
When was the information regarding Myra Dorene West most recently updated?
The details pertaining to the Myra Dorene West, including its address, specialty, and other relevant information, were last refreshed on 2010-04-09.
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