Jessica Renee Luitjohan in Sioux City - Clinical Child & Adolescent
Jessica Renee Luitjohan - NPI 1730381716
Jessica Renee Luitjohan is a Clinical Child & Adolescent in Sioux City, Iowa. Jessica Renee Luitjohan practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jessica Renee Luitjohan is 1730381716. The last update date is 2015-04-07.
Jessica Renee Luitjohan's current location address is 2212 Pierce St, Sioux City, Iowa. You can contact this provider via phone number 7122558323 and fax number 7122558287. The mailing address for Jessica Renee Luitjohan is 2212 Pierce St, Sioux City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Renee Luitjohan |
|---|---|
| Address | 2212 Pierce St, Sioux City, Iowa |
| Phone Number | 7122558323 |
| Fax Number | 7122558287 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1730381716 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2015-04-07 |
Provider Mailing Address Detail
| Address | 2212 Pierce St |
|---|---|
| City | Sioux City |
| State | Iowa (IA) |
| Post Code | 511043871 |
| Phone Number | 7122558323 |
| Fax Number | 7122558287 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 07-21P |
|
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 |
|---|---|---|---|
| 164952719 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jessica Renee Luitjohan by the Centers for Medicare & Medicaid Services?
The Jessica Renee Luitjohan has been assigned the NPI (National Provider Identifier) 1730381716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jessica Renee Luitjohan?
The Jessica Renee Luitjohan is physically situated at 2212 Pierce St, in the city of Sioux City, state of IA, with the postal code 511043871.
What is the Jessica Renee Luitjohan's area of specialization and corresponding taxonomy classification?
The Jessica Renee Luitjohan's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
When did Jessica Renee Luitjohan receive its 1730381716 assignment?
The Jessica Renee Luitjohan was assigned its 1730381716 on 2007-06-01, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jessica Renee Luitjohan most recently updated?
The details pertaining to the Jessica Renee Luitjohan, including its address, specialty, and other relevant information, were last refreshed on 2015-04-07.
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