Leslie Kjosa Sutro in Randolph - Clinical Child & Adolescent
Leslie Kjosa Sutro - NPI 1598911679
Leslie Kjosa Sutro is a Clinical Child & Adolescent in Randolph, Massachusetts. Leslie Kjosa Sutro practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Leslie Kjosa Sutro is 1598911679. The last update date is 2008-08-08.
Leslie Kjosa Sutro's current location address is 41 Pacella Park Dr, Randolph, Massachusetts. You can contact this provider via phone number 7814371250. The mailing address for Leslie Kjosa Sutro is 41 Pacella Park Dr, Randolph, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Kjosa Sutro |
|---|---|
| Address | 41 Pacella Park Dr, Randolph, Massachusetts |
| Phone Number | 7814371250 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1598911679 |
|---|---|
| Provider Enumeration Date | 2008-08-08 |
| Last Updated Date | 2008-08-08 |
Provider Mailing Address Detail
| Address | 41 Pacella Park Dr |
|---|---|
| City | Randolph |
| State | Massachusetts (MA) |
| Post Code | 23681755 |
| Phone Number | 7814371250 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 8871 |
|
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 identification code assigned to Leslie Kjosa Sutro by the Centers for Medicare & Medicaid Services?
The Leslie Kjosa Sutro has been issued the NPI (National Provider Identifier) 1598911679. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Leslie Kjosa Sutro's facilities are geographically located?
The facilities of Leslie Kjosa Sutro are physically situated at the following location: 41 Pacella Park Dr, Randolph, MA, 23681755.
What is Leslie Kjosa Sutro's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leslie Kjosa Sutro's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did Leslie Kjosa Sutro receive its 1598911679 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Kjosa Sutro was assigned its 1598911679 on 2008-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Leslie Kjosa Sutro's information last updated?
The Leslie Kjosa Sutro's information was last updated on 2008-08-08.
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