Bryn Anne Poulton in Oak Park - Clinical

Bryn Anne Poulton - NPI 1104017920

Bryn Anne Poulton is a Clinical in Oak Park, Illinois. Bryn Anne Poulton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bryn Anne Poulton is 1104017920. The last update date is 2020-02-26.

Bryn Anne Poulton's current location address is 1103 Westgate St Ste 205, Oak Park, Illinois. You can contact this provider via phone number 7738526898. The mailing address for Bryn Anne Poulton is 1103 Westgate St Ste 205, Oak Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryn Anne Poulton
Address 1103 Westgate St Ste 205, Oak Park, Illinois
Phone Number 7738526898
Fax Number
Sole Proprietor Y
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1104017920
Provider Enumeration Date 2007-08-06
Last Updated Date 2020-02-26

Provider Mailing Address Detail

Address 1103 Westgate St Ste 205
City Oak Park
State Illinois (IL)
Post Code 603011022
Phone Number 7738526898
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 149-009823
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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FAQs about Bryn Anne Poulton

What is the unique provider identifier assigned to Bryn Anne Poulton?

The Bryn Anne Poulton has been issued the NPI (National Provider Identifier) 1104017920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Bryn Anne Poulton located?

The Bryn Anne Poulton is located at 1103 Westgate St Ste 205, Oak Park, IL 603011022.

What is Bryn Anne Poulton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Bryn Anne Poulton is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104017920 to Bryn Anne Poulton?

The Centers for Medicare & Medicaid Services assigned the 1104017920 to Bryn Anne Poulton on 2007-08-06.

When was the information regarding Bryn Anne Poulton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bryn Anne Poulton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-02-26.

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