Judy Jaijaetawa Sina in Haslett - Group Psychotherapy

Judy Jaijaetawa Sina - NPI 1174715577

Judy Jaijaetawa Sina is a Group Psychotherapy in Haslett, Michigan. Judy Jaijaetawa Sina practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Judy Jaijaetawa Sina is 1174715577. The last update date is 2007-08-10.

Judy Jaijaetawa Sina's current location address is 5786 Lake Dr, Haslett, Michigan. You can contact this provider via phone number 5178621267. The mailing address for Judy Jaijaetawa Sina is 5786 Lake Dr, Haslett, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy Jaijaetawa Sina
Address 5786 Lake Dr, Haslett, Michigan
Phone Number 5178621267
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1174715577
Provider Enumeration Date 2007-08-10
Last Updated Date 2007-08-10

Provider Mailing Address Detail

Address 5786 Lake Dr
City Haslett
State Michigan (MI)
Post Code 488408436
Phone Number 5178621267
Fax Number

Provider's Primary Taxonomy Detail

Speciality Group Psychotherapy
Taxonomy 103Tp2701X
Licence No 6301011292
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

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FAQs about Judy Jaijaetawa Sina

What is the unique 10-digit identifier code issued to Judy Jaijaetawa Sina by the Centers for Medicare & Medicaid Services?

The Judy Jaijaetawa Sina has been assigned the NPI (National Provider Identifier) 1174715577 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Judy Jaijaetawa Sina is physically located?

The Judy Jaijaetawa Sina is physically situated at the following address: 5786 Lake Dr, Haslett, MI, 488408436.

What is Judy Jaijaetawa Sina's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Judy Jaijaetawa Sina is Group Psychotherapy, and the taxonomy code that classifies this field of practice is 103Tp2701X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174715577 to Judy Jaijaetawa Sina?

The Centers for Medicare & Medicaid Services originally issued the 1174715577 to Judy Jaijaetawa Sina on 2007-08-10.

As of what date was the information regarding Judy Jaijaetawa Sina, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Judy Jaijaetawa Sina, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-10.

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