Marilyn Derden Phelps in Tullahoma - Clinical
Marilyn Derden Phelps - NPI 1083770689
Marilyn Derden Phelps is a Clinical in Tullahoma, Tennessee. Marilyn Derden Phelps practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marilyn Derden Phelps is 1083770689. The last update date is 2007-07-08.
Marilyn Derden Phelps's current location address is 928 N Jackson St, Tullahoma, Tennessee. You can contact this provider via phone number 9314542242 and fax number 9314541217. The mailing address for Marilyn Derden Phelps is 928 N Jackson St, Tullahoma, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn Derden Phelps |
|---|---|
| Address | 928 N Jackson St, Tullahoma, Tennessee |
| Phone Number | 9314542242 |
| Fax Number | 9314541217 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083770689 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 928 N Jackson St |
|---|---|
| City | Tullahoma |
| State | Tennessee (TN) |
| Post Code | 373882332 |
| Phone Number | 9314542242 |
| Fax Number | 9314541217 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW000000423 |
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What is the unique identification code assigned to Marilyn Derden Phelps by the Centers for Medicare & Medicaid Services?
The Marilyn Derden Phelps has been issued the NPI (National Provider Identifier) 1083770689. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Marilyn Derden Phelps located?
The Marilyn Derden Phelps is located at 928 N Jackson St, Tullahoma, TN 373882332.
What is Marilyn Derden Phelps's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marilyn Derden Phelps's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Marilyn Derden Phelps receive its 1083770689 assignment from the Centers for Medicare & Medicaid Services?
The Marilyn Derden Phelps was assigned its 1083770689 on 2006-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Marilyn Derden Phelps most recently updated or refreshed?
The details pertaining to the Marilyn Derden Phelps, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.