Tere Tyner Canzoneri in Decatur - Clinical
Tere Tyner Canzoneri - NPI 1679603815
Tere Tyner Canzoneri is a Clinical in Decatur, Georgia. Tere Tyner Canzoneri practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tere Tyner Canzoneri is 1679603815. The last update date is 2007-07-08.
Tere Tyner Canzoneri's current location address is 136 Geneva St, Decatur, Georgia. You can contact this provider via phone number 4046646254 and fax number 4046340505. The mailing address for Tere Tyner Canzoneri is 136 Geneva St, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tere Tyner Canzoneri |
|---|---|
| Address | 136 Geneva St, Decatur, Georgia |
| Phone Number | 4046646254 |
| Fax Number | 4046340505 |
| Sole Proprietor | Y |
| Credentials | M.DIV., MS |
NPI Number Detail
| NPI Number | 1679603815 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 136 Geneva St |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301843 |
| Phone Number | 4046646254 |
| Fax Number | 4046340505 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1202 |
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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 10-digit identification code assigned to Tere Tyner Canzoneri by the Centers for Medicare & Medicaid Services?
The Tere Tyner Canzoneri has been issued the NPI (National Provider Identifier) 1679603815, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tere Tyner Canzoneri is physically located?
The Tere Tyner Canzoneri is situated at the following address: 136 Geneva St, Decatur, GA 300301843.
What is the Tere Tyner Canzoneri's specialty and taxonomy code?
The Tere Tyner Canzoneri's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Tere Tyner Canzoneri receive its 1679603815?
The Tere Tyner Canzoneri was issued its 1679603815 on 2007-03-06, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Tere Tyner Canzoneri most recently updated or revised?
The details related to Tere Tyner Canzoneri, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC