Donald Roy Pake is a Psychologist in Callaway, Florida. Donald Roy Pake practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Donald Roy Pake is 1417140542. The last update date is 2022-07-27.
Donald Roy Pake's current location address is 429 S Tyndall Pkwy Ste B, Callaway, Florida. You can contact this provider via phone number 8505413504 and fax number 8507856700. The mailing address for Donald Roy Pake is 429 S Tyndall Pkwy Ste B, Callaway, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Roy Pake |
|---|---|
| Address | 429 S Tyndall Pkwy Ste B, Callaway, Florida |
| Phone Number | 8505413504 |
| Fax Number | 8507856700 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417140542 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2022-07-27 |
Provider Mailing Address Detail
| Address | 429 S Tyndall Pkwy Ste B |
|---|---|
| City | Callaway |
| State | Florida (FL) |
| Post Code | 324046746 |
| Phone Number | 8505413504 |
| Fax Number | 8507856700 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY7612 |
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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 assigned to Donald Roy Pake by the Centers for Medicare & Medicaid Services?
The Donald Roy Pake has been issued the NPI (National Provider Identifier) 1417140542 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Donald Roy Pake located?
The Donald Roy Pake is located at 429 S Tyndall Pkwy Ste B, Callaway, FL 324046746.
What is Donald Roy Pake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Donald Roy Pake is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417140542 to Donald Roy Pake?
The Centers for Medicare & Medicaid Services originally issued the 1417140542 to Donald Roy Pake on 2007-08-22.
When was the information regarding Donald Roy Pake, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Donald Roy Pake, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-27.
NPI Number: 1376546309
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