Georgianna M Achilles in Port Matilda - Clinical Child & Adolescent
Georgianna M Achilles - NPI 1548444268
Georgianna M Achilles is a Clinical Child & Adolescent in Port Matilda, Pennsylvania. Georgianna M Achilles practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Georgianna M Achilles is 1548444268. The last update date is 2010-04-13.
Georgianna M Achilles's current location address is 120 Blueberry Hill Ln, Port Matilda, Pennsylvania. You can contact this provider via phone number 8142388092 and fax number 8142351101. The mailing address for Georgianna M Achilles is 120 Blueberry Hill Ln, Port Matilda, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Georgianna M Achilles |
|---|---|
| Address | 120 Blueberry Hill Ln, Port Matilda, Pennsylvania |
| Phone Number | 8142388092 |
| Fax Number | 8142351101 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1548444268 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2010-04-13 |
Provider Mailing Address Detail
| Address | 120 Blueberry Hill Ln |
|---|---|
| City | Port Matilda |
| State | Pennsylvania (PA) |
| Post Code | 168707035 |
| Phone Number | 8142388092 |
| Fax Number | 8142351101 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 810003856 |
|
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 |
|---|---|---|---|
| 1024294500001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Georgianna M Achilles by the Centers for Medicare & Medicaid Services?
The Georgianna M Achilles has been assigned the NPI (National Provider Identifier) 1548444268 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Georgianna M Achilles?
The Georgianna M Achilles is physically situated at 120 Blueberry Hill Ln, in the city of Port Matilda, state of PA, with the postal code 168707035.
What is Georgianna M Achilles's specialized field of practice, and what is the corresponding taxonomy classification code?
The Georgianna M Achilles's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date was the 1548444268 assigned to Georgianna M Achilles?
The Georgianna M Achilles was issued its 1548444268 on 2007-12-18, 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 Georgianna M Achilles's details last updated?
The information pertaining to the Georgianna M Achilles, including its address, specialty, and other details, was most recently updated on 2010-04-13.
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