Philip Randolph Yates in Jacksonville - Psychologist
Philip Randolph Yates - NPI 1407902745
Philip Randolph Yates is a Psychologist in Jacksonville, Florida. Philip Randolph Yates practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Philip Randolph Yates is 1407902745. The last update date is 2007-07-08.
Philip Randolph Yates's current location address is 4465 Baymeadows Rd Ste 8, Jacksonville, Florida. You can contact this provider via phone number 9047317222 and fax number 9047317406. The mailing address for Philip Randolph Yates is 4465 Baymeadows Rd Ste 8, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Randolph Yates |
|---|---|
| Address | 4465 Baymeadows Rd Ste 8, Jacksonville, Florida |
| Phone Number | 9047317222 |
| Fax Number | 9047317406 |
| Sole Proprietor | Y |
| Credentials | PH. D. |
NPI Number Detail
| NPI Number | 1407902745 |
|---|---|
| Provider Enumeration Date | 2007-01-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4465 Baymeadows Rd Ste 8 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322174727 |
| Phone Number | 9047317222 |
| Fax Number | 9047317406 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY0002702 |
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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 identification code assigned to Philip Randolph Yates by the Centers for Medicare & Medicaid Services?
The Philip Randolph Yates has been issued the NPI (National Provider Identifier) 1407902745. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Philip Randolph Yates is located?
The Philip Randolph Yates is situated at the following address: 4465 Baymeadows Rd Ste 8, Jacksonville, FL, 322174727.
What is Philip Randolph Yates'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 Philip Randolph Yates is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date was the 1407902745 assigned to Philip Randolph Yates?
The Philip Randolph Yates was issued its 1407902745 on 2007-01-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Philip Randolph Yates most recently updated or revised?
The information pertaining to Philip Randolph Yates, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.