Susan Gwaltney in Dallas - Clinical Child & Adolescent

Susan Gwaltney - NPI 1639184187

Susan Gwaltney is a Clinical Child & Adolescent in Dallas, Texas. Susan Gwaltney practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Susan Gwaltney is 1639184187. The last update date is 2007-07-08.

Susan Gwaltney's current location address is 7668 La Manga Dr, Dallas, Texas. You can contact this provider via phone number 9727018196 and fax number 9723923983. The mailing address for Susan Gwaltney is 7668 La Manga Dr, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Gwaltney
Address 7668 La Manga Dr, Dallas, Texas
Phone Number 9727018196
Fax Number 9723923983
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1639184187
Provider Enumeration Date 2006-07-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7668 La Manga Dr
City Dallas
State Texas (TX)
Post Code 752483129
Phone Number 9727018196
Fax Number 9723923983

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 24096
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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FAQs about Susan Gwaltney

What is the unique provider identifier assigned to Susan Gwaltney?

The Susan Gwaltney has been issued the NPI (National Provider Identifier) 1639184187 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Susan Gwaltney's physical address?

The Susan Gwaltney is physically located at 7668 La Manga Dr, in the city of Dallas, TX, with the postal code 752483129.

What is Susan Gwaltney's area of expertise and its corresponding taxonomy classification?

The Susan Gwaltney's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Susan Gwaltney receive its 1639184187 assignment from the Centers for Medicare & Medicaid Services?

The Susan Gwaltney was assigned its 1639184187 by the Centers for Medicare & Medicaid Services on 2006-07-30.

When was the Susan Gwaltney's information last updated?

The Susan Gwaltney's information was last updated on 2007-07-08.

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