Erica Lynn Vice Pristas in Georgetown - Clinical Child & Adolescent

Erica Lynn Vice Pristas - NPI 1922262948

Erica Lynn Vice Pristas is a Clinical Child & Adolescent in Georgetown, Kentucky. Erica Lynn Vice Pristas practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Erica Lynn Vice Pristas is 1922262948. The last update date is 2018-03-17.

Erica Lynn Vice Pristas's current location address is 2689 Frankfort Rd, Georgetown, Kentucky. You can contact this provider via phone number 8595379779 and fax number 8598689312. The mailing address for Erica Lynn Vice Pristas is 2689 Frankfort Rd, Georgetown, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Erica Lynn Vice Pristas
Address 2689 Frankfort Rd, Georgetown, Kentucky
Phone Number 8595379779
Fax Number 8598689312
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1922262948
Provider Enumeration Date 2008-07-18
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 2689 Frankfort Rd
City Georgetown
State Kentucky (KY)
Post Code 403248611
Phone Number 8595379779
Fax Number 8598689312

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No KY-1555
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
7100289550 KY --

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FAQs about Erica Lynn Vice Pristas

What is the unique identifier code issued to Erica Lynn Vice Pristas by the Centers for Medicare & Medicaid Services (CMS)?

The Erica Lynn Vice Pristas has been assigned the NPI (National Provider Identifier) 1922262948. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Erica Lynn Vice Pristas is physically located?

The Erica Lynn Vice Pristas is situated at the following address: 2689 Frankfort Rd, Georgetown, KY 403248611.

What is the Erica Lynn Vice Pristas's area of specialization and corresponding taxonomy classification?

The Erica Lynn Vice Pristas'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 Erica Lynn Vice Pristas receive its 1922262948 assignment from the Centers for Medicare & Medicaid Services?

The Erica Lynn Vice Pristas was assigned its 1922262948 on 2008-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Erica Lynn Vice Pristas most recently updated?

The details pertaining to the Erica Lynn Vice Pristas, including its address, specialty, and other relevant information, were last refreshed on 2018-03-17.

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