Professional Early Intervention Services, Llc in Fayetteville - Clinical Child & Adolescent
Professional Early Intervention Services, Llc - NPI 1285775866
Professional Early Intervention Services, Llc is a Clinical Child & Adolescent in Fayetteville, North Carolina. Professional Early Intervention Services, Llc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Professional Early Intervention Services, Llc is 1285775866. The last update date is 2022-04-01.
Professional Early Intervention Services, Llc's current location address is 1708a Owen Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9104256282 and fax number 9104256554. The mailing address for Professional Early Intervention Services, Llc is 1708a Owen Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Professional Early Intervention Services, Llc |
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Address | 1708a Owen Dr, Fayetteville, North Carolina |
Phone Number | 9104256282 |
Fax Number | 9104256554 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Carroll M Cynthia |
Credentials | M.ED |
Telephone Number | 9104256282 |
NPI Number Detail
NPI Number | 1285775866 |
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Provider Enumeration Date | 2007-02-08 |
Last Updated Date | 2022-04-01 |
Provider Mailing Address Detail
Address | 1708a Owen Dr |
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City | Fayetteville |
State | North Carolina (NC) |
Post Code | 283043419 |
Phone Number | 9104256282 |
Fax Number | 9104256554 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Child & Adolescent |
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Taxonomy | 103Tc2200X |
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 Professional Early Intervention Services, Llc by the Centers for Medicare & Medicaid Services?
The Professional Early Intervention Services, Llc has been issued the NPI (National Provider Identifier) 1285775866. 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 Professional Early Intervention Services, Llc is located?
The Professional Early Intervention Services, Llc is situated at the following address: 1708A Owen Dr, Fayetteville, NC, 283043419.
What is Professional Early Intervention Services, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Professional Early Intervention Services, Llc'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 the Professional Early Intervention Services, Llc receive the assignment of its 1285775866 from the Centers for Medicare & Medicaid Services?
The Professional Early Intervention Services, Llc was issued its 1285775866 by the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the Professional Early Intervention Services, Llc's information last updated?
The Professional Early Intervention Services, Llc's information was last updated on 2022-04-01.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH