Moyosore Paupau Mickens in Stamford - Clinical
Moyosore Paupau Mickens - NPI 1942461090
Moyosore Paupau Mickens is a Clinical in Stamford, Connecticut. Moyosore Paupau Mickens practices all healthcare services and medical treatments related to Clinical. The NPI Number for Moyosore Paupau Mickens is 1942461090. The last update date is 2022-04-19.
Moyosore Paupau Mickens's current location address is 61 Rock Spring Road, Stamford, Connecticut. You can contact this provider via phone number 2034962074. The mailing address for Moyosore Paupau Mickens is 61 Rock Spring Road, Stamford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Moyosore Paupau Mickens |
|---|---|
| Address | 61 Rock Spring Road, Stamford, Connecticut |
| Phone Number | 2034962074 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1942461090 |
|---|---|
| Provider Enumeration Date | 2008-06-21 |
| Last Updated Date | 2022-04-19 |
Provider Mailing Address Detail
| Address | 61 Rock Spring Road |
|---|---|
| City | Stamford |
| State | Connecticut (CT) |
| Post Code | 6906 |
| Phone Number | 2034962074 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6466 |
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What is the unique 10-digit identifier code issued to Moyosore Paupau Mickens by the Centers for Medicare & Medicaid Services?
The Moyosore Paupau Mickens has been assigned the NPI (National Provider Identifier) 1942461090 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 Moyosore Paupau Mickens?
The Moyosore Paupau Mickens is situated at 61 Rock Spring Road, in the city of Stamford, state of CT, with the zip code 6906.
What is Moyosore Paupau Mickens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Moyosore Paupau Mickens is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Moyosore Paupau Mickens receive the assignment of its 1942461090 from the Centers for Medicare & Medicaid Services?
The Moyosore Paupau Mickens was issued its 1942461090 by the Centers for Medicare & Medicaid Services on 2008-06-21.
When was the information regarding Moyosore Paupau Mickens most recently updated?
The details pertaining to the Moyosore Paupau Mickens, including its address, specialty, and other relevant information, were last refreshed on 2022-04-19.
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