Elaine Ann Mallette in Jacksonville - Developmental Therapist
Elaine Ann Mallette - NPI 1619139573
Elaine Ann Mallette is a Developmental Therapist in Jacksonville, North Carolina. Elaine Ann Mallette practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Elaine Ann Mallette is 1619139573. The last update date is 2008-07-01.
Elaine Ann Mallette's current location address is 200 Carmen Ave, Jacksonville, North Carolina. You can contact this provider via phone number 9104599451 and fax number 9103331975. The mailing address for Elaine Ann Mallette is 200 Carmen Ave, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Ann Mallette |
|---|---|
| Address | 200 Carmen Ave, Jacksonville, North Carolina |
| Phone Number | 9104599451 |
| Fax Number | 9103331975 |
| Sole Proprietor | Y |
| Credentials | BS |
NPI Number Detail
| NPI Number | 1619139573 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 200 Carmen Ave |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285405070 |
| Phone Number | 9104599451 |
| Fax Number | 9103331975 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | 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 assigned to Elaine Ann Mallette by the Centers for Medicare & Medicaid Services?
The Elaine Ann Mallette has been issued the NPI (National Provider Identifier) 1619139573, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Elaine Ann Mallette is physically located?
The Elaine Ann Mallette is situated at the following address: 200 Carmen Ave, Jacksonville, NC 285405070.
What is the area of specialization for Elaine Ann Mallette, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elaine Ann Mallette is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 222Q00000X.
On what date did the Elaine Ann Mallette receive the assignment of its 1619139573 from the Centers for Medicare & Medicaid Services?
The Elaine Ann Mallette was issued its 1619139573 by the Centers for Medicare & Medicaid Services on 2008-07-01.
As of what date were the details related to Elaine Ann Mallette most recently updated or revised?
The information pertaining to Elaine Ann Mallette, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-01.