Stanley Brent Eastin in Albuquerque - Psychologist
Stanley Brent Eastin - NPI 1922113927
Stanley Brent Eastin is a Psychologist in Albuquerque, New Mexico. Stanley Brent Eastin practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stanley Brent Eastin is 1922113927. The last update date is 2007-07-08.
Stanley Brent Eastin's current location address is 320 Osuna Rd Ne # H, Albuquerque, New Mexico. You can contact this provider via phone number 5053452778 and fax number 5053452878. The mailing address for Stanley Brent Eastin is 320 Osuna Rd Ne # H, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stanley Brent Eastin |
|---|---|
| Address | 320 Osuna Rd Ne # H, Albuquerque, New Mexico |
| Phone Number | 5053452778 |
| Fax Number | 5053452878 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1922113927 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 320 Osuna Rd Ne # H |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871075952 |
| Phone Number | 5053452778 |
| Fax Number | 5053452878 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | NM 447 |
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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 |
|---|---|---|---|
| N0286 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stanley Brent Eastin by the Centers for Medicare & Medicaid Services?
The Stanley Brent Eastin has been issued the NPI (National Provider Identifier) 1922113927 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stanley Brent Eastin?
The Stanley Brent Eastin is physically situated at 320 Osuna Rd Ne # H, in the city of Albuquerque, state of NM, with the postal code 871075952.
What is Stanley Brent Eastin'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 Stanley Brent Eastin is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922113927 to Stanley Brent Eastin?
The Centers for Medicare & Medicaid Services assigned the 1922113927 to Stanley Brent Eastin on 2006-08-20.
As of what date were the details related to Stanley Brent Eastin most recently updated or revised?
The information pertaining to Stanley Brent Eastin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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