Martin James Poe in Racine - Clinical Child & Adolescent

Martin James Poe - NPI 1558577395

Martin James Poe is a Clinical Child & Adolescent in Racine, Wisconsin. Martin James Poe practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Martin James Poe is 1558577395. The last update date is 2007-07-08.

Martin James Poe's current location address is 5200 Washington Ave, Racine, Wisconsin. You can contact this provider via phone number 2627637249. The mailing address for Martin James Poe is 5200 Washington Ave, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin James Poe
Address 5200 Washington Ave, Racine, Wisconsin
Phone Number 2627637249
Fax Number
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1558577395
Provider Enumeration Date 2007-05-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5200 Washington Ave
City Racine
State Wisconsin (WI)
Post Code 534064238
Phone Number 2627637249
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 1302
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
39083800 WI --

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FAQs about Martin James Poe

What is the Martin James Poe's unique identification number?

The Martin James Poe has been assigned the NPI (National Provider Identifier) Number 1558577395 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Martin James Poe is physically located?

The Martin James Poe is physically situated at the following address: 5200 Washington Ave, Racine, WI, 534064238.

What is Martin James Poe's area of expertise and its corresponding taxonomy classification?

The Martin James Poe's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1558577395 assigned to Martin James Poe?

The Martin James Poe was issued its 1558577395 on 2007-05-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Martin James Poe's information last updated?

The Martin James Poe's information was last updated on 2007-07-08.

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