Michael Hodson Street in Clearlake - Clinical
Michael Hodson Street - NPI 1093872095
Michael Hodson Street is a Clinical in Clearlake, California. Michael Hodson Street practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Hodson Street is 1093872095. The last update date is 2012-11-06.
Michael Hodson Street's current location address is 7000b S Center Dr, Clearlake, California. You can contact this provider via phone number 7075086412 and fax number 7072749192. The mailing address for Michael Hodson Street is 7000b S Center Dr, Clearlake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Hodson Street |
|---|---|
| Address | 7000b S Center Dr, Clearlake, California |
| Phone Number | 7075086412 |
| Fax Number | 7072749192 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1093872095 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
| Address | 7000b S Center Dr |
|---|---|
| City | Clearlake |
| State | California (CA) |
| Post Code | 954228131 |
| Phone Number | 7075086412 |
| Fax Number | 7072749192 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 18551 |
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What is the Michael Hodson Street's 1093872095?
The Michael Hodson Street's NPI (National Provider Identifier) Number is 1093872095. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael Hodson Street located?
The Michael Hodson Street is located at 7000B S Center Dr, Clearlake, CA 954228131.
What is Michael Hodson Street's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Hodson Street is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093872095 to Michael Hodson Street?
The Centers for Medicare & Medicaid Services originally issued the 1093872095 to Michael Hodson Street on 2007-01-02.
As of what date were the details pertaining to Michael Hodson Street last refreshed?
The information related to the Michael Hodson Street, including its address, specialty, and other relevant details, was last updated on 2012-11-06.