Michael Daniel Gomez in Providence - Clinical Child & Adolescent
Michael Daniel Gomez - NPI 1316121320
Michael Daniel Gomez is a Clinical Child & Adolescent in Providence, Rhode Island. Michael Daniel Gomez practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Michael Daniel Gomez is 1316121320. The last update date is 2021-09-28.
Michael Daniel Gomez's current location address is 117 Ellenfield St Ste 101, Providence, Rhode Island. You can contact this provider via phone number 4014446779. The mailing address for Michael Daniel Gomez is 117 Ellenfield St Ste 101, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Daniel Gomez |
|---|---|
| Address | 117 Ellenfield St Ste 101, Providence, Rhode Island |
| Phone Number | 4014446779 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1316121320 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2021-09-28 |
Provider Mailing Address Detail
| Address | 117 Ellenfield St Ste 101 |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29054541 |
| Phone Number | 4014446779 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 37162 |
|
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 |
|---|---|---|---|
| 1841281805 | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Daniel Gomez by the Centers for Medicare & Medicaid Services?
The Michael Daniel Gomez has been assigned the NPI (National Provider Identifier) 1316121320. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Daniel Gomez?
The Michael Daniel Gomez is situated at 117 Ellenfield St Ste 101, in the city of Providence, state of RI, with the zip code 29054541.
What is Michael Daniel Gomez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Daniel Gomez's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
When was the Michael Daniel Gomez's 1316121320 issued?
The Michael Daniel Gomez's 1316121320 was issued on 2007-12-27.
When was the information related to Michael Daniel Gomez most recently updated or refreshed?
The details pertaining to the Michael Daniel Gomez, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-09-28.
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