Jacob Dean Landis in Brockton - Mental Health
Jacob Dean Landis - NPI 1174786081
Jacob Dean Landis is a Mental Health in Brockton, Massachusetts. Jacob Dean Landis practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jacob Dean Landis is 1174786081. The last update date is 2008-07-11.
Jacob Dean Landis's current location address is 37 Belmont St, Brockton, Massachusetts. You can contact this provider via phone number 5085804691. The mailing address for Jacob Dean Landis is 37 Belmont St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacob Dean Landis |
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Address | 37 Belmont St, Brockton, Massachusetts |
Phone Number | 5085804691 |
Fax Number | |
Sole Proprietor | N |
Credentials | MA |
NPI Number Detail
NPI Number | 1174786081 |
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Provider Enumeration Date | 2008-07-10 |
Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
Address | 37 Belmont St |
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City | Brockton |
State | Massachusetts (MA) |
Post Code | 23015299 |
Phone Number | 5085804691 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the Jacob Dean Landis's unique identification number?
The Jacob Dean Landis has been assigned the NPI (National Provider Identifier) Number 1174786081 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jacob Dean Landis is located?
The Jacob Dean Landis is situated at the following address: 37 Belmont St, Brockton, MA, 23015299.
What is Jacob Dean Landis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacob Dean Landis's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date was the 1174786081 assigned to Jacob Dean Landis?
The Jacob Dean Landis was issued its 1174786081 on 2008-07-10, 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 details related to Jacob Dean Landis most recently updated or revised?
The information pertaining to Jacob Dean Landis, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-11.