David Thomas Hargraves in Rexburg - Psychologist
David Thomas Hargraves - NPI 1114128030
David Thomas Hargraves is a Psychologist in Rexburg, Idaho. David Thomas Hargraves practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David Thomas Hargraves is 1114128030. The last update date is 2007-07-08.
David Thomas Hargraves's current location address is 523 E 4th S, Rexburg, Idaho. You can contact this provider via phone number 2083590836. The mailing address for David Thomas Hargraves is 523 E 4th S, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Thomas Hargraves |
|---|---|
| Address | 523 E 4th S, Rexburg, Idaho |
| Phone Number | 2083590836 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1114128030 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 523 E 4th S |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 834402512 |
| Phone Number | 2083590836 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY222 |
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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 David Thomas Hargraves's unique identification number?
The David Thomas Hargraves has been assigned the NPI (National Provider Identifier) Number 1114128030 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of David Thomas Hargraves?
The David Thomas Hargraves is physically situated at 523 E 4Th S, in the city of Rexburg, state of ID, with the postal code 834402512.
What is the David Thomas Hargraves's area of specialization and corresponding taxonomy classification?
The David Thomas Hargraves's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the David Thomas Hargraves receive its 1114128030 assignment from the Centers for Medicare & Medicaid Services?
The David Thomas Hargraves was assigned its 1114128030 by the Centers for Medicare & Medicaid Services on 2007-05-29.
As of what date were the details related to David Thomas Hargraves most recently updated or revised?
The information pertaining to David Thomas Hargraves, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.