Angelica Louise Kloos in Port Matilda - Child & Adolescent Psychiatry
Angelica Louise Kloos - NPI 1205055167
Angelica Louise Kloos is a Child & Adolescent Psychiatry in Port Matilda, Pennsylvania. Angelica Louise Kloos practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Angelica Louise Kloos is 1205055167. The last update date is 2020-10-19.
Angelica Louise Kloos's current location address is 132 Abigail Ln, Port Matilda, Pennsylvania. You can contact this provider via phone number 8142727100 and fax number 8142726501. The mailing address for Angelica Louise Kloos is 132 Abigail Ln, Port Matilda, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelica Louise Kloos |
|---|---|
| Address | 132 Abigail Ln, Port Matilda, Pennsylvania |
| Phone Number | 8142727100 |
| Fax Number | 8142726501 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1205055167 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2020-10-19 |
Provider Mailing Address Detail
| Address | 132 Abigail Ln |
|---|---|
| City | Port Matilda |
| State | Pennsylvania (PA) |
| Post Code | 168707153 |
| Phone Number | 8142727100 |
| Fax Number | 8142726501 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | OS014089 |
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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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What is the unique 10-digit identification code issued to Angelica Louise Kloos by the Centers for Medicare & Medicaid Services?
The Angelica Louise Kloos has been assigned the NPI (National Provider Identifier) 1205055167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Angelica Louise Kloos?
The Angelica Louise Kloos is physically situated at 132 Abigail Ln, in the city of Port Matilda, state of PA, with the postal code 168707153.
What is the area of specialization for Angelica Louise Kloos, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Angelica Louise Kloos is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0804X.
On what date did Angelica Louise Kloos receive its 1205055167 assignment from the Centers for Medicare & Medicaid Services?
The Angelica Louise Kloos was assigned its 1205055167 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Angelica Louise Kloos last refreshed?
The information related to the Angelica Louise Kloos, including its address, specialty, and other relevant details, was last updated on 2020-10-19.