Stanley Mong is a Clinical in Baton Rouge, Louisiana. Stanley Mong practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stanley Mong is 1518027317. The last update date is 2007-07-08.
Stanley Mong's current location address is 4615 Government St Bldg 2, Baton Rouge, Louisiana. You can contact this provider via phone number 2259251768 and fax number 2259220771. The mailing address for Stanley Mong is 4615 Government St Bldg 2, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stanley Mong |
|---|---|
| Address | 4615 Government St Bldg 2, Baton Rouge, Louisiana |
| Phone Number | 2259251768 |
| Fax Number | 2259220771 |
| Sole Proprietor | N |
| Credentials | LCSW,BCD |
NPI Number Detail
| NPI Number | 1518027317 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4615 Government St Bldg 2 |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708065820 |
| Phone Number | 2259251768 |
| Fax Number | 2259220771 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1125 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1915629 | LA | -- |
Post Comment/ Review Below
What is the Stanley Mong's 1518027317?
The Stanley Mong's NPI (National Provider Identifier) Number is 1518027317. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stanley Mong is physically located?
The Stanley Mong is physically situated at the following address: 4615 Government St Bldg 2, Baton Rouge, LA, 708065820.
What is the Stanley Mong's area of specialization and corresponding taxonomy classification?
The Stanley Mong's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1518027317 to Stanley Mong?
The Stanley Mong received its 1518027317 assignment from the Centers for Medicare & Medicaid Services on 2006-12-11.
As of what date were the Stanley Mong's details last updated?
The information pertaining to the Stanley Mong, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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