Laura Alison Ellick in Smithtown - Exercise & Sports
Laura Alison Ellick - NPI 1407875172
Laura Alison Ellick is a Exercise & Sports in Smithtown, New York. Laura Alison Ellick practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Laura Alison Ellick is 1407875172. The last update date is 2007-08-17.
Laura Alison Ellick's current location address is 39 Dehan St, Smithtown, New York. You can contact this provider via phone number 6316569507. The mailing address for Laura Alison Ellick is 39 Dehan St, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Alison Ellick |
|---|---|
| Address | 39 Dehan St, Smithtown, New York |
| Phone Number | 6316569507 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1407875172 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-08-17 |
Provider Mailing Address Detail
| Address | 39 Dehan St |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 117871034 |
| Phone Number | 6316569507 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Exercise & Sports |
|---|---|
| Taxonomy | 103Te1100X |
| Licence No | 14960 |
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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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What is the unique identification code assigned to Laura Alison Ellick by the Centers for Medicare & Medicaid Services?
The Laura Alison Ellick has been issued the NPI (National Provider Identifier) 1407875172. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Laura Alison Ellick's facilities are situated?
The facilities of Laura Alison Ellick are physically located at the following address: 39 Dehan St, Smithtown, NY, 117871034.
What is Laura Alison Ellick's area of expertise and its corresponding taxonomy classification?
The Laura Alison Ellick's field of specialization is Exercise & Sports, and it falls under the taxonomy code 103Te1100X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407875172 to Laura Alison Ellick?
The Centers for Medicare & Medicaid Services originally issued the 1407875172 to Laura Alison Ellick on 2006-07-19.
As of what date were the details related to Laura Alison Ellick most recently updated or revised?
The information pertaining to Laura Alison Ellick, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-17.
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