Infant Toddler Services Functionally Understanding Needs Llc in Wilmington - Clinical Child & Adolescent
Infant Toddler Services Functionally Understanding Needs Llc - NPI 1871612085
Infant Toddler Services Functionally Understanding Needs Llc is a Clinical Child & Adolescent in Wilmington, North Carolina. Infant Toddler Services Functionally Understanding Needs Llc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Infant Toddler Services Functionally Understanding Needs Llc is 1871612085. The last update date is 2020-08-22.
Infant Toddler Services Functionally Understanding Needs Llc's current location address is 6728 Cable Car Ln, Wilmington, North Carolina. You can contact this provider via phone number 9104719353. The mailing address for Infant Toddler Services Functionally Understanding Needs Llc is 6728 Cable Car Ln, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Infant Toddler Services Functionally Understanding Needs Llc |
|---|---|
| Address | 6728 Cable Car Ln, Wilmington, North Carolina |
| Phone Number | 9104719353 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Vaught Rae Donna |
| Credentials | PH.D. |
| Telephone Number | 9104719353 |
NPI Number Detail
| NPI Number | 1871612085 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6728 Cable Car Ln |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284033669 |
| Phone Number | 9104719353 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2212 |
|
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 provider identifier assigned to Infant Toddler Services Functionally Understanding Needs Llc?
The Infant Toddler Services Functionally Understanding Needs Llc has been issued the NPI (National Provider Identifier) 1871612085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Infant Toddler Services Functionally Understanding Needs Llc?
The Infant Toddler Services Functionally Understanding Needs Llc is physically situated at 6728 Cable Car Ln, in the city of Wilmington, state of NC, with the postal code 284033669.
What is Infant Toddler Services Functionally Understanding Needs Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Infant Toddler Services Functionally Understanding Needs Llc'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 did the Centers for Medicare & Medicaid Services issue the 1871612085 to Infant Toddler Services Functionally Understanding Needs Llc?
The Infant Toddler Services Functionally Understanding Needs Llc received its 1871612085 assignment from the Centers for Medicare & Medicaid Services on 2007-03-28.
When was the information pertaining to Infant Toddler Services Functionally Understanding Needs Llc most recently updated or revised?
The details related to Infant Toddler Services Functionally Understanding Needs Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.