Rosalynn Marie Moten in Troy - Clinical Child & Adolescent

Rosalynn Marie Moten - NPI 1134384274

Rosalynn Marie Moten is a Clinical Child & Adolescent in Troy, Michigan. Rosalynn Marie Moten practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Rosalynn Marie Moten is 1134384274. The last update date is 2013-11-22.

Rosalynn Marie Moten's current location address is 2215 Golfview Dr, Troy, Michigan. You can contact this provider via phone number 3137191649 and fax number 2487923042. The mailing address for Rosalynn Marie Moten is 2215 Golfview Dr, Troy, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Rosalynn Marie Moten
Address 2215 Golfview Dr, Troy, Michigan
Phone Number 3137191649
Fax Number 2487923042
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1134384274
Provider Enumeration Date 2008-07-28
Last Updated Date 2013-11-22

Provider Mailing Address Detail

Address 2215 Golfview Dr
City Troy
State Michigan (MI)
Post Code 480843919
Phone Number 3137191649
Fax Number 2487923042

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6301011759
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
M80840 MI PSYCHOLOGIST

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FAQs about Rosalynn Marie Moten

What is the unique identifier code issued to Rosalynn Marie Moten by the Centers for Medicare & Medicaid Services (CMS)?

The Rosalynn Marie Moten has been assigned the NPI (National Provider Identifier) 1134384274. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Rosalynn Marie Moten?

The Rosalynn Marie Moten is physically situated at 2215 Golfview Dr, in the city of Troy, state of MI, with the postal code 480843919.

What is Rosalynn Marie Moten's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rosalynn Marie Moten'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 was the 1134384274 assigned to Rosalynn Marie Moten?

The Rosalynn Marie Moten was issued its 1134384274 on 2008-07-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Rosalynn Marie Moten most recently updated or revised?

The information pertaining to Rosalynn Marie Moten, including its address, specialty, and other relevant details, was last updated or revised on 2013-11-22.

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