Jacquelyn Hall-Davis in Belleville - Child & Adolescent Psychiatry
Jacquelyn Hall-Davis - NPI 1619042124
Jacquelyn Hall-Davis is a Child & Adolescent Psychiatry in Belleville, Illinois. Jacquelyn Hall-Davis practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Jacquelyn Hall-Davis is 1619042124. The last update date is 2010-08-10.
Jacquelyn Hall-Davis's current location address is 12 N 64 Th Street, Belleville, Illinois. You can contact this provider via phone number 6183970900 and fax number 6183970093. The mailing address for Jacquelyn Hall-Davis is 12 N 64 Th Street, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Hall-Davis |
|---|---|
| Address | 12 N 64 Th Street, Belleville, Illinois |
| Phone Number | 6183970900 |
| Fax Number | 6183970093 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619042124 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2010-08-10 |
Provider Mailing Address Detail
| Address | 12 N 64 Th Street |
|---|---|
| City | Belleville |
| State | Illinois (IL) |
| Post Code | 622233809 |
| Phone Number | 6183970900 |
| Fax Number | 6183970093 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 36080270 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3649 | MO | BCBS MO | |
| 36080270 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jacquelyn Hall-Davis by the Centers for Medicare & Medicaid Services (CMS)?
The Jacquelyn Hall-Davis has been assigned the NPI (National Provider Identifier) 1619042124. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jacquelyn Hall-Davis?
The Jacquelyn Hall-Davis is situated at 12 N 64 Th Street, in the city of Belleville, state of IL, with the zip code 622233809.
What is the Jacquelyn Hall-Davis's specialty and taxonomy code?
The Jacquelyn Hall-Davis's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
When was the Jacquelyn Hall-Davis's 1619042124 issued?
The Jacquelyn Hall-Davis's 1619042124 was issued on 2006-11-21.
As of what date was the information regarding Jacquelyn Hall-Davis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacquelyn Hall-Davis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-10.
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