John Clemens Laney in Rice Lake - Health Service

John Clemens Laney - NPI 1912069626

John Clemens Laney is a Health Service in Rice Lake, Wisconsin. John Clemens Laney practices all healthcare services and medical treatments related to Health Service. The NPI Number for John Clemens Laney is 1912069626. The last update date is 2007-07-08.

John Clemens Laney's current location address is 12 W Marshall St, Rice Lake, Wisconsin. You can contact this provider via phone number 7152343301 and fax number 7157361301. The mailing address for John Clemens Laney is 12 W Marshall St, Rice Lake, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name John Clemens Laney
Address 12 W Marshall St, Rice Lake, Wisconsin
Phone Number 7152343301
Fax Number 7157361301
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1912069626
Provider Enumeration Date 2006-12-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12 W Marshall St
City Rice Lake
State Wisconsin (WI)
Post Code 548682741
Phone Number 7152343301
Fax Number 7157361301

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 514
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
29144 WI SECURITY HEALTH PLAN
39059400 WI --
5066 WI MARSHFIELD CLINIC
81-285 WI WPS

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FAQs about John Clemens Laney

What is the John Clemens Laney's unique identification number?

The John Clemens Laney has been assigned the NPI (National Provider Identifier) Number 1912069626 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of John Clemens Laney?

The John Clemens Laney is situated at 12 W Marshall St, in the city of Rice Lake, state of WI, with the zip code 548682741.

What is John Clemens Laney's area of expertise and its corresponding taxonomy classification?

The John Clemens Laney's field of specialization is Health Service, and it falls under the taxonomy code 103Th0100X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1912069626 to John Clemens Laney?

The Centers for Medicare & Medicaid Services assigned the 1912069626 to John Clemens Laney on 2006-12-16.

As of what date was the information pertaining to John Clemens Laney, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John Clemens Laney, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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