Peter C Entwistle in Pembroke - Psychologist
Peter C Entwistle - NPI 1477743854
Peter C Entwistle is a Psychologist in Pembroke, Massachusetts. Peter C Entwistle practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Peter C Entwistle is 1477743854. The last update date is 2007-07-31.
Peter C Entwistle's current location address is 54 Pudding Brook Dr, Pembroke, Massachusetts. You can contact this provider via phone number 7818267197. The mailing address for Peter C Entwistle is 54 Pudding Brook Dr, Pembroke, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter C Entwistle |
|---|---|
| Address | 54 Pudding Brook Dr, Pembroke, Massachusetts |
| Phone Number | 7818267197 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1477743854 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2007-07-31 |
Provider Mailing Address Detail
| Address | 54 Pudding Brook Dr |
|---|---|
| City | Pembroke |
| State | Massachusetts (MA) |
| Post Code | 23592008 |
| Phone Number | 7818267197 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 4237 |
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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 |
|---|---|---|---|
| WO4515 | MA | BLUE CROSS-BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Peter C Entwistle by the Centers for Medicare & Medicaid Services (CMS)?
The Peter C Entwistle has been assigned the NPI (National Provider Identifier) 1477743854. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Peter C Entwistle's facilities are geographically located?
The facilities of Peter C Entwistle are physically situated at the following location: 54 Pudding Brook Dr, Pembroke, MA, 23592008.
What is the area of specialization for Peter C Entwistle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Peter C Entwistle 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 issue the 1477743854 to Peter C Entwistle?
The Peter C Entwistle received its 1477743854 assignment from the Centers for Medicare & Medicaid Services on 2007-07-31.
As of what date was the information regarding Peter C Entwistle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Peter C Entwistle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-31.
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