James Jeffrey Crisco in Wauwatosa - Clinical Child & Adolescent
James Jeffrey Crisco - NPI 1013172600
James Jeffrey Crisco is a Clinical Child & Adolescent in Wauwatosa, Wisconsin. James Jeffrey Crisco practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for James Jeffrey Crisco is 1013172600. The last update date is 2009-04-22.
James Jeffrey Crisco's current location address is 3636 N 124th St, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144769755 and fax number 4144763413. The mailing address for James Jeffrey Crisco is 3636 N 124th St, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Jeffrey Crisco |
|---|---|
| Address | 3636 N 124th St, Wauwatosa, Wisconsin |
| Phone Number | 4144769755 |
| Fax Number | 4144763413 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1013172600 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2009-04-22 |
Provider Mailing Address Detail
| Address | 3636 N 124th St |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532222125 |
| Phone Number | 4144769755 |
| Fax Number | 4144763413 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 613-057 |
|
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 |
|---|---|---|---|
| 39010900 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to James Jeffrey Crisco by the Centers for Medicare & Medicaid Services?
The James Jeffrey Crisco has been issued the NPI (National Provider Identifier) 1013172600. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James Jeffrey Crisco?
The James Jeffrey Crisco is situated at 3636 N 124Th St, in the city of Wauwatosa, state of WI, with the zip code 532222125.
What is the area of specialization for James Jeffrey Crisco, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James Jeffrey Crisco is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013172600 to James Jeffrey Crisco?
The Centers for Medicare & Medicaid Services assigned the 1013172600 to James Jeffrey Crisco on 2008-07-23.
As of what date was the information pertaining to James Jeffrey Crisco, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to James Jeffrey Crisco, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-22.
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