Michelle Alane Masbaum in Evanston - Art Therapist
Michelle Alane Masbaum - NPI 1639230618
Michelle Alane Masbaum is a Art Therapist in Evanston, Illinois. Michelle Alane Masbaum practices all healthcare services and medical treatments related to Art Therapist. The NPI Number for Michelle Alane Masbaum is 1639230618. The last update date is 2007-07-08.
Michelle Alane Masbaum's current location address is 744 Hinman Ave Apt 2, Evanston, Illinois. You can contact this provider via phone number 8477453036 and fax number 8477453096. The mailing address for Michelle Alane Masbaum is 744 Hinman Ave Apt 2, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Alane Masbaum |
|---|---|
| Address | 744 Hinman Ave Apt 2, Evanston, Illinois |
| Phone Number | 8477453036 |
| Fax Number | 8477453096 |
| Sole Proprietor | Y |
| Credentials | LCPC, ATR- |
NPI Number Detail
| NPI Number | 1639230618 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 744 Hinman Ave Apt 2 |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602024446 |
| Phone Number | 8477453036 |
| Fax Number | 8477453096 |
Provider's Primary Taxonomy Detail
| Speciality | Art Therapist |
|---|---|
| Taxonomy | 221700000X |
| Licence No | 05-003 |
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Definition: (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or phy |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michelle Alane Masbaum by the Centers for Medicare & Medicaid Services?
The Michelle Alane Masbaum has been issued the NPI (National Provider Identifier) 1639230618, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michelle Alane Masbaum's facilities are geographically located?
The facilities of Michelle Alane Masbaum are physically situated at the following location: 744 Hinman Ave Apt 2, Evanston, IL, 602024446.
What is the Michelle Alane Masbaum's specialty and taxonomy code?
The Michelle Alane Masbaum's specialty is Art Therapist, and the corresponding taxonomy code is 221700000X.
On what date did Michelle Alane Masbaum receive its 1639230618 assignment from the Centers for Medicare & Medicaid Services?
The Michelle Alane Masbaum was assigned its 1639230618 on 2006-12-13, 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 related to Michelle Alane Masbaum most recently updated or revised?
The information pertaining to Michelle Alane Masbaum, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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