Gary Dean Zomalt is a Clinical in Fresno, California. Gary Dean Zomalt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Dean Zomalt is 1932256062. The last update date is 2007-07-08.
Gary Dean Zomalt's current location address is 2512 W Scott Ave, Fresno, California. You can contact this provider via phone number 5594352628 and fax number 5592611436. The mailing address for Gary Dean Zomalt is 2512 W Scott Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Dean Zomalt |
|---|---|
| Address | 2512 W Scott Ave, Fresno, California |
| Phone Number | 5594352628 |
| Fax Number | 5592611436 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1932256062 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2512 W Scott Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937112756 |
| Phone Number | 5594352628 |
| Fax Number | 5592611436 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 12151 |
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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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What is the unique identification code assigned to Gary Dean Zomalt by the Centers for Medicare & Medicaid Services?
The Gary Dean Zomalt has been issued the NPI (National Provider Identifier) 1932256062. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Dean Zomalt?
The Gary Dean Zomalt is situated at 2512 W Scott Ave, in the city of Fresno, state of CA, with the zip code 937112756.
What is Gary Dean Zomalt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Dean Zomalt is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932256062 to Gary Dean Zomalt?
The Centers for Medicare & Medicaid Services originally issued the 1932256062 to Gary Dean Zomalt on 2007-01-04.
As of what date were the details related to Gary Dean Zomalt most recently updated or revised?
The information pertaining to Gary Dean Zomalt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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