Julien Porter Devereux in Dallas - Clinical

Julien Porter Devereux - NPI 1194841940

Julien Porter Devereux is a Clinical in Dallas, Texas. Julien Porter Devereux practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julien Porter Devereux is 1194841940. The last update date is 2007-07-08.

Julien Porter Devereux's current location address is 6162 E Mockingbird Ln, Dallas, Texas. You can contact this provider via phone number 4696443975 and fax number 2148279920. The mailing address for Julien Porter Devereux is 6162 E Mockingbird Ln, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Julien Porter Devereux
Address 6162 E Mockingbird Ln, Dallas, Texas
Phone Number 4696443975
Fax Number 2148279920
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1194841940
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6162 E Mockingbird Ln
City Dallas
State Texas (TX)
Post Code 752142697
Phone Number 4696443975
Fax Number 2148279920

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No S17975
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 Julien Porter Devereux

What is the Julien Porter Devereux's unique identification number?

The Julien Porter Devereux has been assigned the NPI (National Provider Identifier) Number 1194841940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Julien Porter Devereux is physically located?

The Julien Porter Devereux is physically situated at the following address: 6162 E Mockingbird Ln, Dallas, TX, 752142697.

What is Julien Porter Devereux's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Julien Porter Devereux's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194841940 to Julien Porter Devereux?

The Julien Porter Devereux received its 1194841940 assignment from the Centers for Medicare & Medicaid Services on 2007-03-22.

When was the information pertaining to Julien Porter Devereux most recently updated or revised?

The details related to Julien Porter Devereux, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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