M L Clemson Corporation in Norfolk - Psychiatric/mental Health, Adult

M L Clemson Corporation - NPI 1033127188

M L Clemson Corporation is a Psychiatric/mental Health, Adult in Norfolk, Virginia. M L Clemson Corporation practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for M L Clemson Corporation is 1033127188. The last update date is 2008-03-26.

M L Clemson Corporation's current location address is 602 Massachusetts Ave, Norfolk, Virginia. You can contact this provider via phone number 7576226673 and fax number 7576221086. The mailing address for M L Clemson Corporation is 602 Massachusetts Ave, Norfolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization M L Clemson Corporation
Address 602 Massachusetts Ave, Norfolk, Virginia
Phone Number 7576226673
Fax Number 7576221086
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Clemson Louise Mary
Credentials PSY CNS
Telephone Number 7576226673

NPI Number Detail

NPI Number 1033127188
Provider Enumeration Date 2006-08-04
Last Updated Date 2008-03-26

Provider Mailing Address Detail

Address 602 Massachusetts Ave
City Norfolk
State Virginia (VA)
Post Code 235082118
Phone Number 7576226673
Fax Number 7576221086

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 163Wp0809X
Licence No 15000529
Definition:
A psychiatric nurse who cares for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
101867 VA ANTHEM GROUP
C08982 VA MEDICARE
101868 VA ANTHEM
P00071810 VA RAILROAD
1750563086 VA INDIVIDUAL NPI

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FAQs about M L Clemson Corporation

What is the M L Clemson Corporation's 1033127188?

The M L Clemson Corporation's NPI (National Provider Identifier) Number is 1033127188. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where M L Clemson Corporation is geographically located?

The M L Clemson Corporation is physically situated at the following location: 602 Massachusetts Ave, Norfolk, VA, 235082118.

What is M L Clemson Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?

The M L Clemson Corporation's area of specialization is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this field of practice is 163Wp0809X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1033127188 to M L Clemson Corporation?

The Centers for Medicare & Medicaid Services originally issued the 1033127188 to M L Clemson Corporation on 2006-08-04.

As of what date were the M L Clemson Corporation's details last updated?

The information pertaining to the M L Clemson Corporation, including its address, specialty, and other details, was most recently updated on 2008-03-26.

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