Pamela Michelle Mattox in Morehead - Developmental Therapist
Pamela Michelle Mattox - NPI 1104034677
Pamela Michelle Mattox is a Developmental Therapist in Morehead, Kentucky. Pamela Michelle Mattox practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Pamela Michelle Mattox is 1104034677. The last update date is 2014-03-31.
Pamela Michelle Mattox's current location address is 375 Hazel Tree Ln, Morehead, Kentucky. You can contact this provider via phone number 6067809213. The mailing address for Pamela Michelle Mattox is 375 Hazel Tree Ln, Morehead, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Michelle Mattox |
|---|---|
| Address | 375 Hazel Tree Ln, Morehead, Kentucky |
| Phone Number | 6067809213 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS.ED |
NPI Number Detail
| NPI Number | 1104034677 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2014-03-31 |
Provider Mailing Address Detail
| Address | 375 Hazel Tree Ln |
|---|---|
| City | Morehead |
| State | Kentucky (KY) |
| Post Code | 403517737 |
| Phone Number | 6067809213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pamela Michelle Mattox by the Centers for Medicare & Medicaid Services?
The Pamela Michelle Mattox has been assigned the NPI (National Provider Identifier) 1104034677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Pamela Michelle Mattox's physical address?
The Pamela Michelle Mattox is physically located at 375 Hazel Tree Ln, in the city of Morehead, KY, with the postal code 403517737.
What is Pamela Michelle Mattox's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pamela Michelle Mattox's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.
On what date did Pamela Michelle Mattox receive its 1104034677 assignment from the Centers for Medicare & Medicaid Services?
The Pamela Michelle Mattox was assigned its 1104034677 on 2007-05-18, 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 Pamela Michelle Mattox last refreshed?
The information related to the Pamela Michelle Mattox, including its address, specialty, and other relevant details, was last updated on 2014-03-31.
NPI Number: 1982607784
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