Jacqueline Shoshannah Iseman in Columbia - Clinical Child & Adolescent
Jacqueline Shoshannah Iseman - NPI 1023295235
Jacqueline Shoshannah Iseman is a Clinical Child & Adolescent in Columbia, Maryland. Jacqueline Shoshannah Iseman practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jacqueline Shoshannah Iseman is 1023295235. The last update date is 2008-01-30.
Jacqueline Shoshannah Iseman's current location address is 10796 Hickory Ridge Rd, Columbia, Maryland. You can contact this provider via phone number 4107308877. The mailing address for Jacqueline Shoshannah Iseman is 10796 Hickory Ridge Rd, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Shoshannah Iseman |
|---|---|
| Address | 10796 Hickory Ridge Rd, Columbia, Maryland |
| Phone Number | 4107308877 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023295235 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2008-01-30 |
Provider Mailing Address Detail
| Address | 10796 Hickory Ridge Rd |
|---|---|
| City | Columbia |
| State | Maryland (MD) |
| Post Code | 210443646 |
| Phone Number | 4107308877 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 4331 |
|
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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What is the unique 10-digit identification code assigned to Jacqueline Shoshannah Iseman by the Centers for Medicare & Medicaid Services?
The Jacqueline Shoshannah Iseman has been issued the NPI (National Provider Identifier) 1023295235, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacqueline Shoshannah Iseman located?
The Jacqueline Shoshannah Iseman is located at 10796 Hickory Ridge Rd, Columbia, MD 210443646.
What is Jacqueline Shoshannah Iseman's area of expertise and its corresponding taxonomy classification?
The Jacqueline Shoshannah Iseman'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 Jacqueline Shoshannah Iseman receive the assignment of its 1023295235 from the Centers for Medicare & Medicaid Services?
The Jacqueline Shoshannah Iseman was issued its 1023295235 by the Centers for Medicare & Medicaid Services on 2008-01-30.
As of what date were the Jacqueline Shoshannah Iseman's details last updated?
The information pertaining to the Jacqueline Shoshannah Iseman, including its address, specialty, and other details, was most recently updated on 2008-01-30.
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