Kim L Lasecki in Green Bay - Clinical Child & Adolescent
Kim L Lasecki - NPI 1235114513
Kim L Lasecki is a Clinical Child & Adolescent in Green Bay, Wisconsin. Kim L Lasecki practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kim L Lasecki is 1235114513. The last update date is 2007-07-08.
Kim L Lasecki's current location address is 301 E Saint Joseph St, Green Bay, Wisconsin. You can contact this provider via phone number 9204336073. The mailing address for Kim L Lasecki is 301 E Saint Joseph St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim L Lasecki |
|---|---|
| Address | 301 E Saint Joseph St, Green Bay, Wisconsin |
| Phone Number | 9204336073 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1235114513 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 301 E Saint Joseph St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543012241 |
| Phone Number | 9204336073 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2448 |
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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 Kim L Lasecki's 1235114513?
The Kim L Lasecki's NPI (National Provider Identifier) Number is 1235114513. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kim L Lasecki's facilities are situated?
The facilities of Kim L Lasecki are physically located at the following address: 301 E Saint Joseph St, Green Bay, WI, 543012241.
What is Kim L Lasecki's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kim L Lasecki's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
When did Kim L Lasecki receive its 1235114513 assignment?
The Kim L Lasecki was assigned its 1235114513 on 2005-12-09, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kim L Lasecki most recently updated?
The details pertaining to the Kim L Lasecki, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.