Jacqueline Judeth Costello-Athert in Old Forge - Professional
Jacqueline Judeth Costello-Athert - NPI 1568547313
Jacqueline Judeth Costello-Athert is a Professional in Old Forge, Pennsylvania. Jacqueline Judeth Costello-Athert practices all healthcare services and medical treatments related to Professional. The NPI Number for Jacqueline Judeth Costello-Athert is 1568547313. The last update date is 2007-07-08.
Jacqueline Judeth Costello-Athert's current location address is 516 Moosic Rd, Old Forge, Pennsylvania. You can contact this provider via phone number 5705621166 and fax number 5704573779. The mailing address for Jacqueline Judeth Costello-Athert is 516 Moosic Rd, Old Forge, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Judeth Costello-Athert |
|---|---|
| Address | 516 Moosic Rd, Old Forge, Pennsylvania |
| Phone Number | 5705621166 |
| Fax Number | 5704573779 |
| Sole Proprietor | Y |
| Credentials | L.P.C. |
NPI Number Detail
| NPI Number | 1568547313 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 516 Moosic Rd |
|---|---|
| City | Old Forge |
| State | Pennsylvania (PA) |
| Post Code | 185182027 |
| Phone Number | 5705621166 |
| Fax Number | 5704573779 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | PC002586 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15080380002 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jacqueline Judeth Costello-Athert by the Centers for Medicare & Medicaid Services?
The Jacqueline Judeth Costello-Athert has been assigned the NPI (National Provider Identifier) 1568547313 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacqueline Judeth Costello-Athert?
The Jacqueline Judeth Costello-Athert is physically situated at 516 Moosic Rd, in the city of Old Forge, state of PA, with the postal code 185182027.
What is Jacqueline Judeth Costello-Athert's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacqueline Judeth Costello-Athert is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.
When did Jacqueline Judeth Costello-Athert receive its 1568547313 assignment?
The Jacqueline Judeth Costello-Athert was assigned its 1568547313 on 2006-10-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jacqueline Judeth Costello-Athert, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacqueline Judeth Costello-Athert, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.