Foster Blake Brin is a Psychologist in Macon, Georgia. Foster Blake Brin practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Foster Blake Brin is 1083701312. The last update date is 2007-07-08.
Foster Blake Brin's current location address is 175 Emery Highway, Macon, Georgia. You can contact this provider via phone number 4787514446 and fax number 4787514444. The mailing address for Foster Blake Brin is 175 Emery Highway, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Foster Blake Brin |
|---|---|
| Address | 175 Emery Highway, Macon, Georgia |
| Phone Number | 4787514446 |
| Fax Number | 4787514444 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083701312 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 175 Emery Highway |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 31217 |
| Phone Number | 4787514446 |
| Fax Number | 4787514444 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 29980 |
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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 |
|---|---|---|---|
| 29980 | GA | M.D. |
Post Comment/ Review Below
What is the unique identifier code issued to Foster Blake Brin by the Centers for Medicare & Medicaid Services?
The Foster Blake Brin has been assigned the NPI (National Provider Identifier) 1083701312. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Foster Blake Brin's physical address?
The Foster Blake Brin is physically located at 175 Emery Highway, in the city of Macon, GA, with the postal code 31217.
What is the area of specialization for Foster Blake Brin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Foster Blake Brin is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083701312 to Foster Blake Brin?
The Centers for Medicare & Medicaid Services originally issued the 1083701312 to Foster Blake Brin on 2006-10-06.
As of what date were the details related to Foster Blake Brin most recently updated or revised?
The information pertaining to Foster Blake Brin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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