Walter R. Jaeckle in Kamuela - Psychologist
Walter R. Jaeckle - NPI 1861445413
Walter R. Jaeckle is a Psychologist in Kamuela, Hawaii. Walter R. Jaeckle practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Walter R. Jaeckle is 1861445413. The last update date is 2007-07-09.
Walter R. Jaeckle's current location address is 65-1235 Opelo Rd, Kamuela, Hawaii. You can contact this provider via phone number 8088851045 and fax number 8088851045. The mailing address for Walter R. Jaeckle is 65-1235 Opelo Rd, Kamuela, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter R. Jaeckle |
|---|---|
| Address | 65-1235 Opelo Rd, Kamuela, Hawaii |
| Phone Number | 8088851045 |
| Fax Number | 8088851045 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1861445413 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 65-1235 Opelo Rd |
|---|---|
| City | Kamuela |
| State | Hawaii (HI) |
| Post Code | 967438454 |
| Phone Number | 8088851045 |
| Fax Number | 8088851045 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY 116 |
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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 |
|---|---|---|---|
| 402265 | HI | -- |
Post Comment/ Review Below
What is the Walter R. Jaeckle's unique identification number?
The Walter R. Jaeckle has been assigned the NPI (National Provider Identifier) Number 1861445413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Walter R. Jaeckle's facilities are situated?
The facilities of Walter R. Jaeckle are physically located at the following address: 65-1235 Opelo Rd, Kamuela, HI, 967438454.
What is the area of specialization for Walter R. Jaeckle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Walter R. Jaeckle is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When did Walter R. Jaeckle receive its 1861445413 assignment?
The Walter R. Jaeckle was assigned its 1861445413 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Walter R. Jaeckle last refreshed?
The information related to the Walter R. Jaeckle, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
NPI Number: 1376546309
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