Benjamin G.L. Ford in Susanville - Psychologist
Benjamin G.L. Ford - NPI 1619151073
Benjamin G.L. Ford is a Psychologist in Susanville, California. Benjamin G.L. Ford practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Benjamin G.L. Ford is 1619151073. The last update date is 2023-02-16.
Benjamin G.L. Ford's current location address is 475-750 Rice Canyon Road, Susanville, California. You can contact this provider via phone number 5302515100. The mailing address for Benjamin G.L. Ford is 475-750 Rice Canyon Road, Susanville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin G.L. Ford |
|---|---|
| Address | 475-750 Rice Canyon Road, Susanville, California |
| Phone Number | 5302515100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1619151073 |
|---|---|
| Provider Enumeration Date | 2007-12-20 |
| Last Updated Date | 2023-02-16 |
Provider Mailing Address Detail
| Address | 475-750 Rice Canyon Road |
|---|---|
| City | Susanville |
| State | California (CA) |
| Post Code | 96130 |
| Phone Number | 5302515100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 25880 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25880 | CA | PSYCHOLOGIST LICENSE NUMBER |
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What is the unique 10-digit identifier code issued to Benjamin G.L. Ford by the Centers for Medicare & Medicaid Services?
The Benjamin G.L. Ford has been assigned the NPI (National Provider Identifier) 1619151073 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Benjamin G.L. Ford is geographically located?
The Benjamin G.L. Ford is physically situated at the following location: 475-750 Rice Canyon Road, Susanville, CA, 96130.
What is Benjamin G.L. Ford's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Benjamin G.L. Ford's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date was the 1619151073 assigned to Benjamin G.L. Ford?
The Benjamin G.L. Ford was issued its 1619151073 on 2007-12-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Benjamin G.L. Ford most recently updated?
The details pertaining to the Benjamin G.L. Ford, including its address, specialty, and other relevant information, were last refreshed on 2023-02-16.