Susan Jean Machkovitz in Beaver Dam - Intellectual And Developmental Disabilities
Susan Jean Machkovitz - NPI 1275742769
Susan Jean Machkovitz is a Intellectual And Developmental Disabilities in Beaver Dam, Wisconsin. Susan Jean Machkovitz practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Susan Jean Machkovitz is 1275742769. The last update date is 2007-07-08.
Susan Jean Machkovitz's current location address is 147 Warren St Apt A, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208854820. The mailing address for Susan Jean Machkovitz is 147 Warren St Apt A, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Jean Machkovitz |
|---|---|
| Address | 147 Warren St Apt A, Beaver Dam, Wisconsin |
| Phone Number | 9208854820 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1275742769 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 147 Warren St Apt A |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539163083 |
| Phone Number | 9208854820 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intellectual And Developmental Disabilities |
|---|---|
| Taxonomy | 103Tm1800X |
| Licence No | 2025 |
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Definition: A psychologist who works with people who have cognitive impairments and developmental disabilities. |
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What is the unique identification code assigned to Susan Jean Machkovitz by the Centers for Medicare & Medicaid Services?
The Susan Jean Machkovitz has been issued the NPI (National Provider Identifier) 1275742769. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Susan Jean Machkovitz's physical address?
The Susan Jean Machkovitz is physically located at 147 Warren St Apt A, in the city of Beaver Dam, WI, with the postal code 539163083.
What is Susan Jean Machkovitz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Jean Machkovitz is Intellectual And Developmental Disabilities, and the taxonomy code that classifies this field of practice is 103Tm1800X.
On what date did the Susan Jean Machkovitz receive the assignment of its 1275742769 from the Centers for Medicare & Medicaid Services?
The Susan Jean Machkovitz was issued its 1275742769 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the Susan Jean Machkovitz's information last updated?
The Susan Jean Machkovitz's information was last updated on 2007-07-08.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT