Jeffrey Scott Prater in South Pasadena - Psychologist
Jeffrey Scott Prater - NPI 1073522363
Jeffrey Scott Prater is a Psychologist in South Pasadena, California. Jeffrey Scott Prater practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jeffrey Scott Prater is 1073522363. The last update date is 2007-07-08.
Jeffrey Scott Prater's current location address is 719 Fremont Ave, South Pasadena, California. You can contact this provider via phone number 6264033500 and fax number 6264036894. The mailing address for Jeffrey Scott Prater is 719 Fremont Ave, South Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Scott Prater |
|---|---|
| Address | 719 Fremont Ave, South Pasadena, California |
| Phone Number | 6264033500 |
| Fax Number | 6264036894 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1073522363 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 719 Fremont Ave |
|---|---|
| City | South Pasadena |
| State | California (CA) |
| Post Code | 910306019 |
| Phone Number | 6264033500 |
| Fax Number | 6264036894 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY 8064 |
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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 identifier code issued to Jeffrey Scott Prater by the Centers for Medicare & Medicaid Services?
The Jeffrey Scott Prater has been assigned the NPI (National Provider Identifier) 1073522363 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 street address where Jeffrey Scott Prater is physically located?
The Jeffrey Scott Prater is physically situated at the following address: 719 Fremont Ave, South Pasadena, CA, 910306019.
What is the Jeffrey Scott Prater's specialty and taxonomy code?
The Jeffrey Scott Prater's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When was the Jeffrey Scott Prater's 1073522363 issued?
The Jeffrey Scott Prater's 1073522363 was issued on 2006-08-05.
When was the information related to Jeffrey Scott Prater most recently updated or refreshed?
The details pertaining to the Jeffrey Scott Prater, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.