Robert Grenfell Mankoff in Raleigh - Clinical Child & Adolescent

Robert Grenfell Mankoff - NPI 1104951136

Robert Grenfell Mankoff is a Clinical Child & Adolescent in Raleigh, North Carolina. Robert Grenfell Mankoff practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Robert Grenfell Mankoff is 1104951136. The last update date is 2007-07-08.

Robert Grenfell Mankoff's current location address is 4000 Blue Ridge Rd, Raleigh, North Carolina. You can contact this provider via phone number 9197824981 and fax number 9197822474. The mailing address for Robert Grenfell Mankoff is 4000 Blue Ridge Rd, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Grenfell Mankoff
Address 4000 Blue Ridge Rd, Raleigh, North Carolina
Phone Number 9197824981
Fax Number 9197822474
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1104951136
Provider Enumeration Date 2007-02-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4000 Blue Ridge Rd
City Raleigh
State North Carolina (NC)
Post Code 276124650
Phone Number 9197824981
Fax Number 9197822474

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 1963
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
6000666 NC --

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FAQs about Robert Grenfell Mankoff

What is the unique provider identifier assigned to Robert Grenfell Mankoff?

The Robert Grenfell Mankoff has been issued the NPI (National Provider Identifier) 1104951136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Robert Grenfell Mankoff's facilities are situated?

The facilities of Robert Grenfell Mankoff are physically located at the following address: 4000 Blue Ridge Rd, Raleigh, NC, 276124650.

What is the area of specialization for Robert Grenfell Mankoff, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert Grenfell Mankoff is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

On what date did the Robert Grenfell Mankoff receive the assignment of its 1104951136 from the Centers for Medicare & Medicaid Services?

The Robert Grenfell Mankoff was issued its 1104951136 by the Centers for Medicare & Medicaid Services on 2007-02-22.

When was the information related to Robert Grenfell Mankoff most recently updated or refreshed?

The details pertaining to the Robert Grenfell Mankoff, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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