Patrick K Lord is a Psychologist in Springfield, Missouri. Patrick K Lord practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Patrick K Lord is 1710013503. The last update date is 2007-07-08.
Patrick K Lord's current location address is 1423 N Jefferson Ave, Springfield, Missouri. You can contact this provider via phone number 4172696891 and fax number 4172695595. The mailing address for Patrick K Lord is 1423 N Jefferson Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick K Lord |
|---|---|
| Address | 1423 N Jefferson Ave, Springfield, Missouri |
| Phone Number | 4172696891 |
| Fax Number | 4172695595 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1710013503 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1423 N Jefferson Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658021917 |
| Phone Number | 4172696891 |
| Fax Number | 4172695595 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY01760 |
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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 |
|---|---|---|---|
| 113672 | MO | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Patrick K Lord by the Centers for Medicare & Medicaid Services?
The Patrick K Lord has been issued the NPI (National Provider Identifier) 1710013503. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Patrick K Lord is physically located?
The Patrick K Lord is situated at the following address: 1423 N Jefferson Ave, Springfield, MO 658021917.
What is Patrick K Lord's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Patrick K Lord is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
When was the Patrick K Lord's 1710013503 issued?
The Patrick K Lord's 1710013503 was issued on 2007-02-26.
When was the information regarding Patrick K Lord most recently updated?
The details pertaining to the Patrick K Lord, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.