Kelly M Champion in Ames - Clinical Child & Adolescent
Kelly M Champion - NPI 1538354998
Kelly M Champion is a Clinical Child & Adolescent in Ames, Iowa. Kelly M Champion practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kelly M Champion is 1538354998. The last update date is 2020-05-28.
Kelly M Champion's current location address is 4820 Mortensen Road, Ames, Iowa. You can contact this provider via phone number 7815526500 and fax number 8888594941. The mailing address for Kelly M Champion is 4820 Mortensen Road, Ames, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly M Champion |
|---|---|
| Address | 4820 Mortensen Road, Ames, Iowa |
| Phone Number | 7815526500 |
| Fax Number | 8888594941 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1538354998 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2020-05-28 |
Provider Mailing Address Detail
| Address | 4820 Mortensen Road |
|---|---|
| City | Ames |
| State | Iowa (IA) |
| Post Code | 500145531 |
| Phone Number | 7815526500 |
| Fax Number | 8888594941 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 8774 |
|
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 |
|---|---|---|---|
| $$$$$$$$$ | SOCIAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly M Champion by the Centers for Medicare & Medicaid Services?
The Kelly M Champion has been issued the NPI (National Provider Identifier) 1538354998, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kelly M Champion is physically located?
The Kelly M Champion is physically situated at the following address: 4820 Mortensen Road, Ames, IA, 500145531.
What is the Kelly M Champion's area of specialization and corresponding taxonomy classification?
The Kelly M Champion's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1538354998 to Kelly M Champion?
The Kelly M Champion received its 1538354998 assignment from the Centers for Medicare & Medicaid Services on 2007-09-10.
As of what date was the information regarding Kelly M Champion, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly M Champion, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-28.
Address: Po Box 2333, Clay, NY
Address: 11541 County Road 1, Fairhope, AL
Address: 5557 Carys Brook Ln, Gloucester, VA
Address: Po Box 2356, Guerneville, CA
Address: 176 Barnwood Dr, Edgewood, KY
Address: 1224 10th St, Coronado, CA
Address: 1259 S Cedar Crest Blvd, Allentown, PA
Address: 1438 W 38th St, Erie, PA
Address: Po Box 491000, Leesburg, FL
Address: 848 W Kings Hwy, Coatesville, PA
Address: 848 W Kings Hwy, Coatesville, PA
Address: 1191 Nw Tahoe Lane, Silverdale, WA
Address: 2022 Fifteenth Avenue, Columbus, GA
Address: 1315 W College Ave, State College, PA
Address: 1146 Opal Ct, Hagerstown, MD