Center For Excellence in Norfolk - Clinical Child & Adolescent
Center For Excellence - NPI 1033393798
Center For Excellence is a Clinical Child & Adolescent in Norfolk, Virginia. Center For Excellence practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Center For Excellence is 1033393798. The last update date is 2007-12-18.
Center For Excellence's current location address is 4101 Granby St, Norfolk, Virginia. You can contact this provider via phone number 7576401882 and fax number 7576400253. The mailing address for Center For Excellence is 4101 Granby St, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Excellence |
|---|---|
| Address | 4101 Granby St, Norfolk, Virginia |
| Phone Number | 7576401882 |
| Fax Number | 7576400253 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Ellis Richard Carl |
| Credentials | ED.D. |
| Telephone Number | 7576401882 |
NPI Number Detail
| NPI Number | 1033393798 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 4101 Granby St |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235041117 |
| Phone Number | 7576401882 |
| Fax Number | 7576400253 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 810001913 |
|
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Center For Excellence?
The Center For Excellence has been issued the NPI (National Provider Identifier) 1033393798 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Center For Excellence's facilities are geographically located?
The facilities of Center For Excellence are physically situated at the following location: 4101 Granby St, Norfolk, VA, 235041117.
What is the Center For Excellence's specialty and taxonomy code?
The Center For Excellence's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date was the 1033393798 assigned to Center For Excellence?
The Center For Excellence was issued its 1033393798 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 details pertaining to Center For Excellence last refreshed?
The information related to the Center For Excellence, including its address, specialty, and other relevant details, was last updated on 2007-12-18.
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