Duane Michael Isava in Millersville - Clinical Child & Adolescent

Duane Michael Isava - NPI 1699948059

Duane Michael Isava is a Clinical Child & Adolescent in Millersville, Maryland. Duane Michael Isava practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Duane Michael Isava is 1699948059. The last update date is 2020-11-18.

Duane Michael Isava's current location address is 8229 Cloverleaf Dr, Millersville, Maryland. You can contact this provider via phone number 5415549777. The mailing address for Duane Michael Isava is 8229 Cloverleaf Dr, Millersville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Duane Michael Isava
Address 8229 Cloverleaf Dr, Millersville, Maryland
Phone Number 5415549777
Fax Number
Sole Proprietor Y
Credentials PH.D, NCSP

NPI Number Detail

NPI Number 1699948059
Provider Enumeration Date 2008-04-08
Last Updated Date 2020-11-18

Provider Mailing Address Detail

Address 8229 Cloverleaf Dr
City Millersville
State Maryland (MD)
Post Code 211081538
Phone Number 5415549777
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6544
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
5737 MD --

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FAQs about Duane Michael Isava

What is the unique 10-digit identifier code issued to Duane Michael Isava by the Centers for Medicare & Medicaid Services?

The Duane Michael Isava has been assigned the NPI (National Provider Identifier) 1699948059 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Duane Michael Isava's physical address?

The Duane Michael Isava is physically located at 8229 Cloverleaf Dr, in the city of Millersville, MD, with the postal code 211081538.

What is Duane Michael Isava's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Duane Michael Isava's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1699948059 to Duane Michael Isava?

The Centers for Medicare & Medicaid Services originally issued the 1699948059 to Duane Michael Isava on 2008-04-08.

When was the information regarding Duane Michael Isava, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Duane Michael Isava, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-11-18.

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