Jack Novick in Ann Arbor - Clinical Child & Adolescent
Jack Novick - NPI 1710158928
Jack Novick is a Clinical Child & Adolescent in Ann Arbor, Michigan. Jack Novick practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jack Novick is 1710158928. The last update date is 2008-03-14.
Jack Novick's current location address is 617 Stratford Dr, Ann Arbor, Michigan. You can contact this provider via phone number 7346656745 and fax number 7346652875. The mailing address for Jack Novick is 617 Stratford Dr, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Novick |
|---|---|
| Address | 617 Stratford Dr, Ann Arbor, Michigan |
| Phone Number | 7346656745 |
| Fax Number | 7346652875 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1710158928 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2008-03-14 |
Provider Mailing Address Detail
| Address | 617 Stratford Dr |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481042745 |
| Phone Number | 7346656745 |
| Fax Number | 7346652875 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2202 |
|
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 |
|---|---|---|---|
| 0HI45566 | MI | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Novick by the Centers for Medicare & Medicaid Services?
The Jack Novick has been issued the NPI (National Provider Identifier) 1710158928, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jack Novick is physically located?
The Jack Novick is physically situated at the following address: 617 Stratford Dr, Ann Arbor, MI, 481042745.
What is the area of specialization for Jack Novick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Novick is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
On what date was the 1710158928 assigned to Jack Novick?
The Jack Novick was issued its 1710158928 on 2008-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jack Novick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Novick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-14.
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