Michael G Destefano in Sacramento - Exercise & Sports
Michael G Destefano - NPI 1295912988
Michael G Destefano is a Exercise & Sports in Sacramento, California. Michael G Destefano practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Michael G Destefano is 1295912988. The last update date is 2008-01-25.
Michael G Destefano's current location address is 1600 9th St, Sacramento, California. You can contact this provider via phone number 9166542431 and fax number 9166543186. The mailing address for Michael G Destefano is 1600 9th St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael G Destefano |
|---|---|
| Address | 1600 9th St, Sacramento, California |
| Phone Number | 9166542431 |
| Fax Number | 9166543186 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1295912988 |
|---|---|
| Provider Enumeration Date | 2008-01-25 |
| Last Updated Date | 2008-01-25 |
Provider Mailing Address Detail
| Address | 1600 9th St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958146414 |
| Phone Number | 9166542431 |
| Fax Number | 9166543186 |
Provider's Primary Taxonomy Detail
| Speciality | Exercise & Sports |
|---|---|
| Taxonomy | 103Te1100X |
| Licence No | PSY 4853 |
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Definition: A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael G Destefano by the Centers for Medicare & Medicaid Services?
The Michael G Destefano has been issued the NPI (National Provider Identifier) 1295912988, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael G Destefano is physically located?
The Michael G Destefano is situated at the following address: 1600 9Th St, Sacramento, CA 958146414.
What is the Michael G Destefano's specialty and taxonomy code?
The Michael G Destefano's specialty is Exercise & Sports, and the corresponding taxonomy code is 103Te1100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295912988 to Michael G Destefano?
The Centers for Medicare & Medicaid Services originally issued the 1295912988 to Michael G Destefano on 2008-01-25.
As of what date was the information pertaining to Michael G Destefano, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael G Destefano, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-25.
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