Sebastian Family Psychology Practice, Llc in Glendale - Clinical Child & Adolescent
Sebastian Family Psychology Practice, Llc - NPI 1619011046
Sebastian Family Psychology Practice, Llc is a Clinical Child & Adolescent in Glendale, Wisconsin. Sebastian Family Psychology Practice, Llc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Sebastian Family Psychology Practice, Llc is 1619011046. The last update date is 2023-07-20.
Sebastian Family Psychology Practice, Llc's current location address is 6025 N Green Bay Ave, Glendale, Wisconsin. You can contact this provider via phone number 4142470801 and fax number 4142470816. The mailing address for Sebastian Family Psychology Practice, Llc is 6025 N Green Bay Ave, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sebastian Family Psychology Practice, Llc |
|---|---|
| Address | 6025 N Green Bay Ave, Glendale, Wisconsin |
| Phone Number | 4142470801 |
| Fax Number | 4142470816 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Ssempijja L Sebastian |
| Credentials | PHD |
| Telephone Number | 4149152967 |
NPI Number Detail
| NPI Number | 1619011046 |
|---|---|
| Provider Enumeration Date | 2007-02-18 |
| Last Updated Date | 2023-07-20 |
Provider Mailing Address Detail
| Address | 6025 N Green Bay Ave |
|---|---|
| City | Glendale |
| State | Wisconsin (WI) |
| Post Code | 532093811 |
| Phone Number | 4142470801 |
| Fax Number | 4142470816 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 1784-057 |
|
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 |
|---|---|---|---|
| 42236700 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sebastian Family Psychology Practice, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Sebastian Family Psychology Practice, Llc has been assigned the NPI (National Provider Identifier) 1619011046. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Sebastian Family Psychology Practice, Llc?
The Sebastian Family Psychology Practice, Llc is physically situated at 6025 N Green Bay Ave, in the city of Glendale, state of WI, with the postal code 532093811.
What is the area of specialization for Sebastian Family Psychology Practice, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sebastian Family Psychology Practice, Llc is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
On what date was the 1619011046 assigned to Sebastian Family Psychology Practice, Llc?
The Sebastian Family Psychology Practice, Llc was issued its 1619011046 on 2007-02-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Sebastian Family Psychology Practice, Llc's information last updated?
The Sebastian Family Psychology Practice, Llc's information was last updated on 2023-07-20.
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