Deanna Vaughn Vitale in Fayetteville - Clinical
Deanna Vaughn Vitale - NPI 1710916911
Deanna Vaughn Vitale is a Clinical in Fayetteville, Arkansas. Deanna Vaughn Vitale practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deanna Vaughn Vitale is 1710916911. The last update date is 2007-07-08.
Deanna Vaughn Vitale's current location address is 4253 N Crossover Rd, Fayetteville, Arkansas. You can contact this provider via phone number 4795215731 and fax number 4795216520. The mailing address for Deanna Vaughn Vitale is 4253 N Crossover Rd, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deanna Vaughn Vitale |
|---|---|
| Address | 4253 N Crossover Rd, Fayetteville, Arkansas |
| Phone Number | 4795215731 |
| Fax Number | 4795216520 |
| Sole Proprietor | N |
| Credentials | LSCSW |
NPI Number Detail
| NPI Number | 1710916911 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4253 N Crossover Rd |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727034593 |
| Phone Number | 4795215731 |
| Fax Number | 4795216520 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1241-C |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5Y300 | AR | BLUE CROSS | |
| 6070021300 | AR | QUALCHOICE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Deanna Vaughn Vitale?
The Deanna Vaughn Vitale has been issued the NPI (National Provider Identifier) 1710916911 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Deanna Vaughn Vitale is geographically located?
The Deanna Vaughn Vitale is physically situated at the following location: 4253 N Crossover Rd, Fayetteville, AR, 727034593.
What is Deanna Vaughn Vitale's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Deanna Vaughn Vitale is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did Deanna Vaughn Vitale receive its 1710916911 assignment?
The Deanna Vaughn Vitale was assigned its 1710916911 on 2006-07-01, which is the date when this unique identifier was issued to the organization.
When was the information related to Deanna Vaughn Vitale most recently updated or refreshed?
The details pertaining to the Deanna Vaughn Vitale, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.