Terry Shannon Proeger in Sarasota - Psychologist
Terry Shannon Proeger - NPI 1114952637
Terry Shannon Proeger is a Psychologist in Sarasota, Florida. Terry Shannon Proeger practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Terry Shannon Proeger is 1114952637. The last update date is 2012-07-25.
Terry Shannon Proeger's current location address is 100 Wallace Ave, Sarasota, Florida. You can contact this provider via phone number 9413730006 and fax number 9413598274. The mailing address for Terry Shannon Proeger is 100 Wallace Ave, Sarasota, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Shannon Proeger |
|---|---|
| Address | 100 Wallace Ave, Sarasota, Florida |
| Phone Number | 9413730006 |
| Fax Number | 9413598274 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1114952637 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2012-07-25 |
Provider Mailing Address Detail
| Address | 100 Wallace Ave |
|---|---|
| City | Sarasota |
| State | Florida (FL) |
| Post Code | 342376058 |
| Phone Number | 9413730006 |
| Fax Number | 9413598274 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY2519 |
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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 Terry Shannon Proeger by the Centers for Medicare & Medicaid Services?
The Terry Shannon Proeger has been issued the NPI (National Provider Identifier) 1114952637 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Terry Shannon Proeger is physically located?
The Terry Shannon Proeger is physically situated at the following address: 100 Wallace Ave, Sarasota, FL, 342376058.
What is the Terry Shannon Proeger's specialty and taxonomy code?
The Terry Shannon Proeger's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did Terry Shannon Proeger receive its 1114952637 assignment from the Centers for Medicare & Medicaid Services?
The Terry Shannon Proeger was assigned its 1114952637 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Terry Shannon Proeger's details last updated?
The information pertaining to the Terry Shannon Proeger, including its address, specialty, and other details, was most recently updated on 2012-07-25.
NPI Number: 1225033541
Address: 261 Old York Rd, Jenkintown, PA