Robert J Wiedeman is a Counselor in Spencer, Massachusetts. Robert J Wiedeman practices all healthcare services and medical treatments related to Counselor. The NPI Number for Robert J Wiedeman is 1407863681. The last update date is 2007-07-08.
Robert J Wiedeman's current location address is 44 Sherman Grv, Spencer, Massachusetts. You can contact this provider via phone number 5088859239 and fax number 5088601068. The mailing address for Robert J Wiedeman is 44 Sherman Grv, Spencer, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert J Wiedeman |
|---|---|
| Address | 44 Sherman Grv, Spencer, Massachusetts |
| Phone Number | 5088859239 |
| Fax Number | 5088601068 |
| Sole Proprietor | N |
| Credentials | LMHC------ |
NPI Number Detail
| NPI Number | 1407863681 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 44 Sherman Grv |
|---|---|
| City | Spencer |
| State | Massachusetts (MA) |
| Post Code | 15621431 |
| Phone Number | 5088859239 |
| Fax Number | 5088601068 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 1492 |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1492 | MA | LMHC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robert J Wiedeman?
The Robert J Wiedeman has been issued the NPI (National Provider Identifier) 1407863681 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Robert J Wiedeman is physically located?
The Robert J Wiedeman is situated at the following address: 44 Sherman Grv, Spencer, MA 15621431.
What is Robert J Wiedeman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert J Wiedeman is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.
When was the Robert J Wiedeman's 1407863681 issued?
The Robert J Wiedeman's 1407863681 was issued on 2006-08-01.
As of what date were the Robert J Wiedeman's details last updated?
The information pertaining to the Robert J Wiedeman, including its address, specialty, and other details, was most recently updated on 2007-07-08.