Patricia A Bristow is a Clinical in Harvest, Alabama. Patricia A Bristow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia A Bristow is 1053513374. The last update date is 2007-07-08.
Patricia A Bristow's current location address is 105 Tahoe Cir, Harvest, Alabama. You can contact this provider via phone number 2566557577. The mailing address for Patricia A Bristow is 105 Tahoe Cir, Harvest, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia A Bristow |
|---|---|
| Address | 105 Tahoe Cir, Harvest, Alabama |
| Phone Number | 2566557577 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1053513374 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 Tahoe Cir |
|---|---|
| City | Harvest |
| State | Alabama (AL) |
| Post Code | 357499628 |
| Phone Number | 2566557577 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1862C |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Patricia A Bristow by the Centers for Medicare & Medicaid Services?
The Patricia A Bristow has been issued the NPI (National Provider Identifier) 1053513374, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Patricia A Bristow is physically located?
The Patricia A Bristow is situated at the following address: 105 Tahoe Cir, Harvest, AL 357499628.
What is Patricia A Bristow's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia A Bristow's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Patricia A Bristow receive its 1053513374 assignment from the Centers for Medicare & Medicaid Services?
The Patricia A Bristow was assigned its 1053513374 on 2007-05-31, 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 Patricia A Bristow most recently updated or revised?
The information pertaining to Patricia A Bristow, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.