Peter J Theobald is a Counselor in Spokane, Washington. Peter J Theobald practices all healthcare services and medical treatments related to Counselor. The NPI Number for Peter J Theobald is 1659569481. The last update date is 2007-10-05.
Peter J Theobald's current location address is 3919 N Maple St, Spokane, Washington. You can contact this provider via phone number 5094448888 and fax number 5094447806. The mailing address for Peter J Theobald is 3919 N Maple St, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter J Theobald |
|---|---|
| Address | 3919 N Maple St, Spokane, Washington |
| Phone Number | 5094448888 |
| Fax Number | 5094447806 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659569481 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 3919 N Maple St |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992051349 |
| Phone Number | 5094448888 |
| Fax Number | 5094447806 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | RC00058671 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RC00058671 | WA | COUNSELOR |
Post Comment/ Review Below
What is the unique identifier code issued to Peter J Theobald by the Centers for Medicare & Medicaid Services (CMS)?
The Peter J Theobald has been assigned the NPI (National Provider Identifier) 1659569481. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Peter J Theobald?
The Peter J Theobald is physically situated at 3919 N Maple St, in the city of Spokane, state of WA, with the postal code 992051349.
What is the Peter J Theobald's specialty and taxonomy code?
The Peter J Theobald's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date was the 1659569481 assigned to Peter J Theobald?
The Peter J Theobald was issued its 1659569481 on 2007-10-05, 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 pertaining to Peter J Theobald last refreshed?
The information related to the Peter J Theobald, including its address, specialty, and other relevant details, was last updated on 2007-10-05.
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