Philip E Sundstrom in Fayetteville - Psychologist
Philip E Sundstrom - NPI 1750594115
Philip E Sundstrom is a Psychologist in Fayetteville, . Philip E Sundstrom practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Philip E Sundstrom is 1750594115. The last update date is 2007-07-08.
Philip E Sundstrom's current location address is 209 W Maple Ave, Fayetteville, . You can contact this provider via phone number 3045742100 and fax number 3045742151. The mailing address for Philip E Sundstrom is 209 W Maple Ave, Fayetteville, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip E Sundstrom |
|---|---|
| Address | 209 W Maple Ave, Fayetteville, |
| Phone Number | 3045742100 |
| Fax Number | 3045742151 |
| Sole Proprietor | N |
| Credentials | M.A.,LIC P |
NPI Number Detail
| NPI Number | 1750594115 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 209 W Maple Ave |
|---|---|
| City | Fayetteville |
| State | (WV) |
| Post Code | 258401413 |
| Phone Number | 3045742100 |
| Fax Number | 3045742151 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 257 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Philip E Sundstrom by the Centers for Medicare & Medicaid Services?
The Philip E Sundstrom has been assigned the NPI (National Provider Identifier) 1750594115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Philip E Sundstrom located?
The Philip E Sundstrom is located at 209 W Maple Ave, Fayetteville, WV 258401413.
What is Philip E Sundstrom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Philip E Sundstrom's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Philip E Sundstrom receive its 1750594115 assignment from the Centers for Medicare & Medicaid Services?
The Philip E Sundstrom was assigned its 1750594115 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date was the information regarding Philip E Sundstrom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Philip E Sundstrom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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