Terry Lee Coryel Stotler in Edwards - Clinical
Terry Lee Coryel Stotler - NPI 1306904875
Terry Lee Coryel Stotler is a Clinical in Edwards, California. Terry Lee Coryel Stotler practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terry Lee Coryel Stotler is 1306904875. The last update date is 2007-07-08.
Terry Lee Coryel Stotler's current location address is 6719 Doolittle Dr, Edwards, California. You can contact this provider via phone number 6612722183 and fax number 6612754099. The mailing address for Terry Lee Coryel Stotler is 6719 Doolittle Dr, Edwards, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Terry Lee Coryel Stotler |
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Address | 6719 Doolittle Dr, Edwards, California |
Phone Number | 6612722183 |
Fax Number | 6612754099 |
Sole Proprietor | Y |
Credentials | MSW, BCD |
NPI Number Detail
NPI Number | 1306904875 |
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Provider Enumeration Date | 2006-12-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6719 Doolittle Dr |
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City | Edwards |
State | California (CA) |
Post Code | 935232105 |
Phone Number | 6612722183 |
Fax Number | 6612754099 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | DP00942520 |
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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What is the unique provider identifier assigned to Terry Lee Coryel Stotler?
The Terry Lee Coryel Stotler has been issued the NPI (National Provider Identifier) 1306904875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Terry Lee Coryel Stotler?
The Terry Lee Coryel Stotler is situated at 6719 Doolittle Dr, in the city of Edwards, state of CA, with the zip code 935232105.
What is Terry Lee Coryel Stotler's area of expertise and its corresponding taxonomy classification?
The Terry Lee Coryel Stotler's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Terry Lee Coryel Stotler receive its 1306904875 assignment from the Centers for Medicare & Medicaid Services?
The Terry Lee Coryel Stotler was assigned its 1306904875 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Terry Lee Coryel Stotler, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Terry Lee Coryel Stotler, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1023011681
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