Jillon S. Vander Wal in Kansas City - Health Service
Jillon S. Vander Wal - NPI 1467669960
Jillon S. Vander Wal is a Health Service in Kansas City, Missouri. Jillon S. Vander Wal practices all healthcare services and medical treatments related to Health Service. The NPI Number for Jillon S. Vander Wal is 1467669960. The last update date is 2022-05-31.
Jillon S. Vander Wal's current location address is 4801 E Linwood Blvd, Kansas City, Missouri. You can contact this provider via phone number 8168614700. The mailing address for Jillon S. Vander Wal is 4801 E Linwood Blvd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jillon S. Vander Wal |
|---|---|
| Address | 4801 E Linwood Blvd, Kansas City, Missouri |
| Phone Number | 8168614700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467669960 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2022-05-31 |
Provider Mailing Address Detail
| Address | 4801 E Linwood Blvd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641282226 |
| Phone Number | 8168614700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | LP03007 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Post Comment/ Review Below
What is the Jillon S. Vander Wal's unique identification number?
The Jillon S. Vander Wal has been assigned the NPI (National Provider Identifier) Number 1467669960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jillon S. Vander Wal is geographically located?
The Jillon S. Vander Wal is physically situated at the following location: 4801 E Linwood Blvd, Kansas City, MO, 641282226.
What is the Jillon S. Vander Wal's specialty and taxonomy code?
The Jillon S. Vander Wal's specialty is Health Service, and the corresponding taxonomy code is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467669960 to Jillon S. Vander Wal?
The Jillon S. Vander Wal received its 1467669960 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date were the details related to Jillon S. Vander Wal most recently updated or revised?
The information pertaining to Jillon S. Vander Wal, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-31.
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