Laronta Upson Rush is a School in Tucker, Georgia. Laronta Upson Rush practices all healthcare services and medical treatments related to School. The NPI Number for Laronta Upson Rush is 1356419790. The last update date is 2021-11-30.
Laronta Upson Rush's current location address is 3760 Lavista Rd Ste 102, Tucker, Georgia. You can contact this provider via phone number 7703758124 and fax number 7705595543. The mailing address for Laronta Upson Rush is 3760 Lavista Rd Ste 102, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laronta Upson Rush |
|---|---|
| Address | 3760 Lavista Rd Ste 102, Tucker, Georgia |
| Phone Number | 7703758124 |
| Fax Number | 7705595543 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1356419790 |
|---|---|
| Provider Enumeration Date | 2006-12-02 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 3760 Lavista Rd Ste 102 |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300845622 |
| Phone Number | 7703758124 |
| Fax Number | 7705595543 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 3025 |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 636448495E | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Laronta Upson Rush by the Centers for Medicare & Medicaid Services?
The Laronta Upson Rush has been assigned the NPI (National Provider Identifier) 1356419790. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Laronta Upson Rush located?
The Laronta Upson Rush is located at 3760 Lavista Rd Ste 102, Tucker, GA 300845622.
What is Laronta Upson Rush's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Laronta Upson Rush is School, and the taxonomy code that classifies this field of practice is 103Ts0200X.
On what date did Laronta Upson Rush receive its 1356419790 assignment from the Centers for Medicare & Medicaid Services?
The Laronta Upson Rush was assigned its 1356419790 on 2006-12-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Laronta Upson Rush most recently updated or revised?
The information pertaining to Laronta Upson Rush, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-30.
NPI Number: 1942207287
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