Manuel L. Medina is a Clinical in Eloy, Arizona. Manuel L. Medina practices all healthcare services and medical treatments related to Clinical. The NPI Number for Manuel L. Medina is 1740345404. The last update date is 2007-07-08.
Manuel L. Medina's current location address is 4020 N Zapotec Ave, Eloy, Arizona. You can contact this provider via phone number 5204648341. The mailing address for Manuel L. Medina is 4020 N Zapotec Ave, Eloy, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manuel L. Medina |
|---|---|
| Address | 4020 N Zapotec Ave, Eloy, Arizona |
| Phone Number | 5204648341 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1740345404 |
|---|---|
| Provider Enumeration Date | 2006-12-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4020 N Zapotec Ave |
|---|---|
| City | Eloy |
| State | Arizona (AZ) |
| Post Code | 852311160 |
| Phone Number | 5204648341 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW # 11051 |
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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 provider identifier assigned to Manuel L. Medina?
The Manuel L. Medina has been issued the NPI (National Provider Identifier) 1740345404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Manuel L. Medina is physically located?
The Manuel L. Medina is physically situated at the following address: 4020 N Zapotec Ave, Eloy, AZ, 852311160.
What is Manuel L. Medina's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Manuel L. Medina is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When was the Manuel L. Medina's 1740345404 issued?
The Manuel L. Medina's 1740345404 was issued on 2006-12-23.
As of what date were the details pertaining to Manuel L. Medina last refreshed?
The information related to the Manuel L. Medina, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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