Quassapaug Ventures in Kaysville - Clinical Child & Adolescent

Quassapaug Ventures - NPI 1033325089

Quassapaug Ventures is a Clinical Child & Adolescent in Kaysville, Utah. Quassapaug Ventures practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Quassapaug Ventures is 1033325089. The last update date is 2014-07-30.

Quassapaug Ventures's current location address is 447 N 300 W, Kaysville, Utah. You can contact this provider via phone number 8015447413 and fax number 8015443819. The mailing address for Quassapaug Ventures is 447 N 300 W, Kaysville, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Quassapaug Ventures
Address 447 N 300 W, Kaysville, Utah
Phone Number 8015447413
Fax Number 8015443819
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOLOGI
Authorized Official Name Stewart M Kathryn
Credentials PH.D.
Telephone Number 8015447413

NPI Number Detail

NPI Number 1033325089
Provider Enumeration Date 2007-05-15
Last Updated Date 2014-07-30

Provider Mailing Address Detail

Address 447 N 300 W
City Kaysville
State Utah (UT)
Post Code 840374203
Phone Number 8015447413
Fax Number 8015443819

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 369768-2501
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 Quassapaug Ventures

What is the unique 10-digit identification code issued to Quassapaug Ventures by the Centers for Medicare & Medicaid Services?

The Quassapaug Ventures has been assigned the NPI (National Provider Identifier) 1033325089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Quassapaug Ventures's facilities are geographically located?

The facilities of Quassapaug Ventures are physically situated at the following location: 447 N 300 W, Kaysville, UT, 840374203.

What is Quassapaug Ventures's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Quassapaug Ventures is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.

On what date was the 1033325089 assigned to Quassapaug Ventures?

The Quassapaug Ventures was issued its 1033325089 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Quassapaug Ventures most recently updated?

The details pertaining to the Quassapaug Ventures, including its address, specialty, and other relevant information, were last refreshed on 2014-07-30.

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