John David Sotherden in Syracuse - Mental Health
John David Sotherden - NPI 1568482107
John David Sotherden is a Mental Health in Syracuse, New York. John David Sotherden practices all healthcare services and medical treatments related to Mental Health. The NPI Number for John David Sotherden is 1568482107. The last update date is 2007-07-08.
John David Sotherden's current location address is 218 Lorraine Ave, Syracuse, New York. You can contact this provider via phone number 3154254400 and fax number 3154254406. The mailing address for John David Sotherden is 218 Lorraine Ave, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Sotherden |
|---|---|
| Address | 218 Lorraine Ave, Syracuse, New York |
| Phone Number | 3154254400 |
| Fax Number | 3154254406 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1568482107 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 218 Lorraine Ave |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132103230 |
| Phone Number | 3154254400 |
| Fax Number | 3154254406 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 067183-1 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to John David Sotherden by the Centers for Medicare & Medicaid Services (CMS)?
The John David Sotherden has been assigned the NPI (National Provider Identifier) 1568482107. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the John David Sotherden's physical address?
The John David Sotherden is physically located at 218 Lorraine Ave, in the city of Syracuse, NY, with the postal code 132103230.
What is the John David Sotherden's specialty and taxonomy code?
The John David Sotherden's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
When did John David Sotherden receive its 1568482107 assignment?
The John David Sotherden was assigned its 1568482107 on 2006-07-19, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to John David Sotherden most recently updated or revised?
The details related to John David Sotherden, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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