Lowell Theodore Kennedy in Phila - Counselor
Lowell Theodore Kennedy - NPI 1467579607
Lowell Theodore Kennedy is a Counselor in Phila, Pennsylvania. Lowell Theodore Kennedy practices all healthcare services and medical treatments related to Counselor. The NPI Number for Lowell Theodore Kennedy is 1467579607. The last update date is 2007-07-08.
Lowell Theodore Kennedy's current location address is 112 N Broad St, Phila, Pennsylvania. You can contact this provider via phone number 2155680860 and fax number 2155680769. The mailing address for Lowell Theodore Kennedy is 112 N Broad St, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lowell Theodore Kennedy |
|---|---|
| Address | 112 N Broad St, Phila, Pennsylvania |
| Phone Number | 2155680860 |
| Fax Number | 2155680769 |
| Sole Proprietor | N |
| Credentials | MAJOR |
NPI Number Detail
| NPI Number | 1467579607 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 112 N Broad St |
|---|---|
| City | Phila |
| State | Pennsylvania (PA) |
| Post Code | 191021510 |
| Phone Number | 2155680860 |
| Fax Number | 2155680769 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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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 |
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What is the unique 10-digit identifier code issued to Lowell Theodore Kennedy by the Centers for Medicare & Medicaid Services?
The Lowell Theodore Kennedy has been assigned the NPI (National Provider Identifier) 1467579607 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lowell Theodore Kennedy?
The Lowell Theodore Kennedy is situated at 112 N Broad St, in the city of Phila, state of PA, with the zip code 191021510.
What is the Lowell Theodore Kennedy's specialty and taxonomy code?
The Lowell Theodore Kennedy's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
When was the Lowell Theodore Kennedy's 1467579607 issued?
The Lowell Theodore Kennedy's 1467579607 was issued on 2007-03-23.
As of what date were the details pertaining to Lowell Theodore Kennedy last refreshed?
The information related to the Lowell Theodore Kennedy, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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