Jeffrey Walter Reddout in Winter Haven - Clinical Neuropsychologist
Jeffrey Walter Reddout - NPI 1639237225
Jeffrey Walter Reddout is a Clinical Neuropsychologist in Winter Haven, Florida. Jeffrey Walter Reddout practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jeffrey Walter Reddout is 1639237225. The last update date is 2007-07-08.
Jeffrey Walter Reddout's current location address is 400 Orchid Springs Dr, Winter Haven, Florida. You can contact this provider via phone number 8633266419 and fax number 8633265640. The mailing address for Jeffrey Walter Reddout is 400 Orchid Springs Dr, Winter Haven, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey Walter Reddout |
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Address | 400 Orchid Springs Dr, Winter Haven, Florida |
Phone Number | 8633266419 |
Fax Number | 8633265640 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1639237225 |
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Provider Enumeration Date | 2006-12-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 400 Orchid Springs Dr |
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City | Winter Haven |
State | Florida (FL) |
Post Code | 338841678 |
Phone Number | 8633266419 |
Fax Number | 8633265640 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | PY5052 |
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique identifier code issued to Jeffrey Walter Reddout by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Walter Reddout has been assigned the NPI (National Provider Identifier) 1639237225. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jeffrey Walter Reddout located?
The Jeffrey Walter Reddout is located at 400 Orchid Springs Dr, Winter Haven, FL 338841678.
What is Jeffrey Walter Reddout's area of expertise and its corresponding taxonomy classification?
The Jeffrey Walter Reddout's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jeffrey Walter Reddout receive its 1639237225 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Walter Reddout was assigned its 1639237225 by the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date was the information pertaining to Jeffrey Walter Reddout, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey Walter Reddout, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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