Charles Edward Streff in Acton - Psychologist

Charles Edward Streff - NPI 1114029733

Charles Edward Streff is a Psychologist in Acton, Massachusetts. Charles Edward Streff practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Charles Edward Streff is 1114029733. The last update date is 2007-07-08.

Charles Edward Streff's current location address is 532 Great Rd, Acton, Massachusetts. You can contact this provider via phone number 9782630439 and fax number 9784863140. The mailing address for Charles Edward Streff is 532 Great Rd, Acton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Edward Streff
Address 532 Great Rd, Acton, Massachusetts
Phone Number 9782630439
Fax Number 9784863140
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1114029733
Provider Enumeration Date 2006-09-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 532 Great Rd
City Acton
State Massachusetts (MA)
Post Code 17203415
Phone Number 9782630439
Fax Number 9784863140

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2084
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W02302 MA BLUE CROSS/BLUE SHIELD
2084 MA STATE LICENSE FOR PSYCHOL

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FAQs about Charles Edward Streff

What is the unique 10-digit identification code issued to Charles Edward Streff by the Centers for Medicare & Medicaid Services?

The Charles Edward Streff has been assigned the NPI (National Provider Identifier) 1114029733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Charles Edward Streff is physically located?

The Charles Edward Streff is physically situated at the following address: 532 Great Rd, Acton, MA, 17203415.

What is the Charles Edward Streff's specialty and taxonomy code?

The Charles Edward Streff's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date did the Charles Edward Streff receive the assignment of its 1114029733 from the Centers for Medicare & Medicaid Services?

The Charles Edward Streff was issued its 1114029733 by the Centers for Medicare & Medicaid Services on 2006-09-03.

When was the Charles Edward Streff's information last updated?

The Charles Edward Streff's information was last updated on 2007-07-08.

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