David Mellinger in Bennington - Clinical Child & Adolescent

David Mellinger - NPI 1700851722

David Mellinger is a Clinical Child & Adolescent in Bennington, Vermont. David Mellinger practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for David Mellinger is 1700851722. The last update date is 2013-02-26.

David Mellinger's current location address is 185 North St, Bennington, Vermont. You can contact this provider via phone number 8024471231 and fax number 8024421203. The mailing address for David Mellinger is 185 North St, Bennington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name David Mellinger
Address 185 North St, Bennington, Vermont
Phone Number 8024471231
Fax Number 8024421203
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1700851722
Provider Enumeration Date 2006-02-22
Last Updated Date 2013-02-26

Provider Mailing Address Detail

Address 185 North St
City Bennington
State Vermont (VT)
Post Code 52011813
Phone Number 8024471231
Fax Number 8024421203

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 048-0000472
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
41025 VT MVP HEALTH CARE
5790 VT VT BLUE CROSS/BLUE SHIELD
9742 VT --

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FAQs about David Mellinger

What is the unique identifier code issued to David Mellinger by the Centers for Medicare & Medicaid Services?

The David Mellinger has been assigned the NPI (National Provider Identifier) 1700851722. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where David Mellinger's facilities are situated?

The facilities of David Mellinger are physically located at the following address: 185 North St, Bennington, VT, 52011813.

What is David Mellinger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David Mellinger's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.

When did David Mellinger receive its 1700851722 assignment?

The David Mellinger was assigned its 1700851722 on 2006-02-22, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding David Mellinger, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David Mellinger, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-26.

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