Cheryl M Mazzara in Saint Clair Shores - Psychiatry
Cheryl M Mazzara - NPI 1497776025
Cheryl M Mazzara is a Psychiatry in Saint Clair Shores, Michigan. Cheryl M Mazzara practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Cheryl M Mazzara is 1497776025. The last update date is 2012-10-11.
Cheryl M Mazzara's current location address is 19900 E 10 Mile Rd Ste 102, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867763366 and fax number 5867763369. The mailing address for Cheryl M Mazzara is 19900 E 10 Mile Rd Ste 102, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl M Mazzara |
|---|---|
| Address | 19900 E 10 Mile Rd Ste 102, Saint Clair Shores, Michigan |
| Phone Number | 5867763366 |
| Fax Number | 5867763369 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497776025 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2012-10-11 |
Provider Mailing Address Detail
| Address | 19900 E 10 Mile Rd Ste 102 |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480804412 |
| Phone Number | 5867763366 |
| Fax Number | 5867763369 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 4301051598 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2605015512 | MI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Cheryl M Mazzara by the Centers for Medicare & Medicaid Services?
The Cheryl M Mazzara has been issued the NPI (National Provider Identifier) 1497776025, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Cheryl M Mazzara's physical address?
The Cheryl M Mazzara is physically located at 19900 E 10 Mile Rd Ste 102, in the city of Saint Clair Shores, MI, with the postal code 480804412.
What is the Cheryl M Mazzara's area of specialization and corresponding taxonomy classification?
The Cheryl M Mazzara's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
When did the Cheryl M Mazzara receive its 1497776025?
The Cheryl M Mazzara was issued its 1497776025 on 2006-07-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Cheryl M Mazzara's details last updated?
The information pertaining to the Cheryl M Mazzara, including its address, specialty, and other details, was most recently updated on 2012-10-11.