Jamie E Mcgillivary in Berkley - Clinical Child & Adolescent
Jamie E Mcgillivary - NPI 1467649061
Jamie E Mcgillivary is a Clinical Child & Adolescent in Berkley, Michigan. Jamie E Mcgillivary practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jamie E Mcgillivary is 1467649061. The last update date is 2012-12-17.
Jamie E Mcgillivary's current location address is 1695 W 12 Mile Rd, Berkley, Michigan. You can contact this provider via phone number 2486914774 and fax number 2486918129. The mailing address for Jamie E Mcgillivary is 1695 W 12 Mile Rd, Berkley, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie E Mcgillivary |
|---|---|
| Address | 1695 W 12 Mile Rd, Berkley, Michigan |
| Phone Number | 2486914774 |
| Fax Number | 2486918129 |
| Sole Proprietor | N |
| Credentials | MS, LLP, B |
NPI Number Detail
| NPI Number | 1467649061 |
|---|---|
| Provider Enumeration Date | 2007-09-27 |
| Last Updated Date | 2012-12-17 |
Provider Mailing Address Detail
| Address | 1695 W 12 Mile Rd |
|---|---|
| City | Berkley |
| State | Michigan (MI) |
| Post Code | 480722182 |
| Phone Number | 2486914774 |
| Fax Number | 2486918129 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 6301011704 |
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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 Jamie E Mcgillivary by the Centers for Medicare & Medicaid Services?
The Jamie E Mcgillivary has been issued the NPI (National Provider Identifier) 1467649061. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jamie E Mcgillivary is located?
The Jamie E Mcgillivary is situated at the following address: 1695 W 12 Mile Rd, Berkley, MI, 480722182.
What is Jamie E Mcgillivary's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jamie E Mcgillivary is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did Jamie E Mcgillivary receive its 1467649061 assignment from the Centers for Medicare & Medicaid Services?
The Jamie E Mcgillivary was assigned its 1467649061 on 2007-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jamie E Mcgillivary, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jamie E Mcgillivary, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-12-17.
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