Shirley Stella Peak in Baton Rouge - Clinical
Shirley Stella Peak - NPI 1639230188
Shirley Stella Peak is a Clinical in Baton Rouge, Louisiana. Shirley Stella Peak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shirley Stella Peak is 1639230188. The last update date is 2007-07-08.
Shirley Stella Peak's current location address is 3843 Harding Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2253599315 and fax number 2253599326. The mailing address for Shirley Stella Peak is 3843 Harding Blvd, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley Stella Peak |
|---|---|
| Address | 3843 Harding Blvd, Baton Rouge, Louisiana |
| Phone Number | 2253599315 |
| Fax Number | 2253599326 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1639230188 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3843 Harding Blvd |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708075224 |
| Phone Number | 2253599315 |
| Fax Number | 2253599326 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1336 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1915602 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shirley Stella Peak by the Centers for Medicare & Medicaid Services?
The Shirley Stella Peak has been assigned the NPI (National Provider Identifier) 1639230188 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shirley Stella Peak?
The Shirley Stella Peak is situated at 3843 Harding Blvd, in the city of Baton Rouge, state of LA, with the zip code 708075224.
What is Shirley Stella Peak'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 Shirley Stella Peak 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 originally issue the 1639230188 to Shirley Stella Peak?
The Centers for Medicare & Medicaid Services originally issued the 1639230188 to Shirley Stella Peak on 2006-12-12.
As of what date were the details pertaining to Shirley Stella Peak last refreshed?
The information related to the Shirley Stella Peak, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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