Child Development Network in Lexington - Clinical Neuropsychologist
Child Development Network - NPI 1902952658
Child Development Network is a Clinical Neuropsychologist in Lexington, Massachusetts. Child Development Network practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Child Development Network is 1902952658. The last update date is 2020-08-22.
Child Development Network's current location address is 76 Bedford St Ste 12, Lexington, Massachusetts. You can contact this provider via phone number 7818616655 and fax number 7818616654. The mailing address for Child Development Network is 76 Bedford St Ste 12, Lexington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Child Development Network |
|---|---|
| Address | 76 Bedford St Ste 12, Lexington, Massachusetts |
| Phone Number | 7818616655 |
| Fax Number | 7818616654 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEUROPSYCH |
|---|---|
| Authorized Official Name | Stasior Korahais Janine |
| Credentials | PHD, MS |
| Telephone Number | 7818616655 |
NPI Number Detail
| NPI Number | 1902952658 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 76 Bedford St Ste 12 |
|---|---|
| City | Lexington |
| State | Massachusetts (MA) |
| Post Code | 24204640 |
| Phone Number | 7818616655 |
| Fax Number | 7818616654 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W10652 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Child Development Network's unique identification number?
The Child Development Network has been assigned the NPI (National Provider Identifier) Number 1902952658 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Child Development Network's facilities are situated?
The facilities of Child Development Network are physically located at the following address: 76 Bedford St Ste 12, Lexington, MA, 24204640.
What is Child Development Network's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Child Development Network is Clinical Neuropsychologist, and the taxonomy classification code that categorizes this area of expertise is 103G00000X.
On what date did Child Development Network receive its 1902952658 assignment from the Centers for Medicare & Medicaid Services?
The Child Development Network was assigned its 1902952658 on 2007-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Child Development Network, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Child Development Network, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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