Jared Leet is a Psychologist in Madisonville, Kentucky. Jared Leet practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jared Leet is 1639251192. The last update date is 2019-07-11.
Jared Leet's current location address is 200 Clinic Dr, Madisonville, Kentucky. You can contact this provider via phone number 2708256680 and fax number 2708257266. The mailing address for Jared Leet is 200 Clinic Dr, Madisonville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jared Leet |
|---|---|
| Address | 200 Clinic Dr, Madisonville, Kentucky |
| Phone Number | 2708256680 |
| Fax Number | 2708257266 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1639251192 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2019-07-11 |
Provider Mailing Address Detail
| Address | 200 Clinic Dr |
|---|---|
| City | Madisonville |
| State | Kentucky (KY) |
| Post Code | 424311661 |
| Phone Number | 2708256680 |
| Fax Number | 2708257266 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 244510 |
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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 |
|---|---|---|---|
| 7100296660 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jared Leet?
The Jared Leet has been issued the NPI (National Provider Identifier) 1639251192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jared Leet?
The Jared Leet is physically situated at 200 Clinic Dr, in the city of Madisonville, state of KY, with the postal code 424311661.
What is the Jared Leet's area of specialization and corresponding taxonomy classification?
The Jared Leet's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1639251192 assigned to Jared Leet?
The Jared Leet was issued its 1639251192 on 2006-10-20, 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 Jared Leet most recently updated or revised?
The information pertaining to Jared Leet, including its address, specialty, and other relevant details, was last updated or revised on 2019-07-11.