Peter Douglas Nordstrom in Tavares - Mental Health
Peter Douglas Nordstrom - NPI 1033180849
Peter Douglas Nordstrom is a Mental Health in Tavares, Florida. Peter Douglas Nordstrom practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Peter Douglas Nordstrom is 1033180849. The last update date is 2007-07-08.
Peter Douglas Nordstrom's current location address is 4910 Abaco Dr, Tavares, Florida. You can contact this provider via phone number 3522536300 and fax number 3523437691. The mailing address for Peter Douglas Nordstrom is 4910 Abaco Dr, Tavares, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peter Douglas Nordstrom |
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Address | 4910 Abaco Dr, Tavares, Florida |
Phone Number | 3522536300 |
Fax Number | 3523437691 |
Sole Proprietor | X |
Credentials | LMHC |
NPI Number Detail
NPI Number | 1033180849 |
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Provider Enumeration Date | 2006-01-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4910 Abaco Dr |
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City | Tavares |
State | Florida (FL) |
Post Code | 327784757 |
Phone Number | 3522536300 |
Fax Number | 3523437691 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | MH6961 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
Z003A | FL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identification code assigned to Peter Douglas Nordstrom by the Centers for Medicare & Medicaid Services?
The Peter Douglas Nordstrom has been issued the NPI (National Provider Identifier) 1033180849, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Peter Douglas Nordstrom located?
The Peter Douglas Nordstrom is located at 4910 Abaco Dr, Tavares, FL 327784757.
What is the Peter Douglas Nordstrom's area of specialization and corresponding taxonomy classification?
The Peter Douglas Nordstrom's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date was the 1033180849 assigned to Peter Douglas Nordstrom?
The Peter Douglas Nordstrom was issued its 1033180849 on 2006-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Peter Douglas Nordstrom's details last updated?
The information pertaining to the Peter Douglas Nordstrom, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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