Mark Belluardo-Crosb in Salem - Psychologist
Mark Belluardo-Crosb - NPI 1528021623
Mark Belluardo-Crosb is a Psychologist in Salem, Massachusetts. Mark Belluardo-Crosb practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mark Belluardo-Crosb is 1528021623. The last update date is 2007-07-08.
Mark Belluardo-Crosb's current location address is 30 Federal St, Salem, Massachusetts. You can contact this provider via phone number 9782397065. The mailing address for Mark Belluardo-Crosb is 30 Federal St, Salem, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Belluardo-Crosb |
|---|---|
| Address | 30 Federal St, Salem, Massachusetts |
| Phone Number | 9782397065 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.MIN, LMH |
NPI Number Detail
| NPI Number | 1528021623 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30 Federal St |
|---|---|
| City | Salem |
| State | Massachusetts (MA) |
| Post Code | 19703869 |
| Phone Number | 9782397065 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3719 |
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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 |
|---|---|---|---|
| 10866 | MA | HARVARD PILGRIM HEALTHCAR | |
| 1895061 | MA | -- | |
| LM0385 | MA | BCBS |
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What is the unique provider identifier assigned to Mark Belluardo-Crosb?
The Mark Belluardo-Crosb has been issued the NPI (National Provider Identifier) 1528021623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Mark Belluardo-Crosb located?
The Mark Belluardo-Crosb is located at 30 Federal St, Salem, MA 19703869.
What is the Mark Belluardo-Crosb's area of specialization and corresponding taxonomy classification?
The Mark Belluardo-Crosb'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 Centers for Medicare & Medicaid Services issue the 1528021623 to Mark Belluardo-Crosb?
The Mark Belluardo-Crosb received its 1528021623 assignment from the Centers for Medicare & Medicaid Services on 2006-04-10.
As of what date were the details related to Mark Belluardo-Crosb most recently updated or revised?
The information pertaining to Mark Belluardo-Crosb, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.