Lea Athena Theodore in Oakdale - Psychologist
Lea Athena Theodore - NPI 1306920806
Lea Athena Theodore is a Psychologist in Oakdale, New York. Lea Athena Theodore practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lea Athena Theodore is 1306920806. The last update date is 2007-07-08.
Lea Athena Theodore's current location address is 1563 Montauk Hwy, Oakdale, New York. You can contact this provider via phone number 6315633162. The mailing address for Lea Athena Theodore is 1563 Montauk Hwy, Oakdale, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lea Athena Theodore |
|---|---|
| Address | 1563 Montauk Hwy, Oakdale, New York |
| Phone Number | 6315633162 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1306920806 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1563 Montauk Hwy |
|---|---|
| City | Oakdale |
| State | New York (NY) |
| Post Code | 117691322 |
| Phone Number | 6315633162 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 16717 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lea Athena Theodore by the Centers for Medicare & Medicaid Services?
The Lea Athena Theodore has been issued the NPI (National Provider Identifier) 1306920806, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lea Athena Theodore's physical address?
The Lea Athena Theodore is physically located at 1563 Montauk Hwy, in the city of Oakdale, NY, with the postal code 117691322.
What is the Lea Athena Theodore's area of specialization and corresponding taxonomy classification?
The Lea Athena Theodore'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 Lea Athena Theodore receive the assignment of its 1306920806 from the Centers for Medicare & Medicaid Services?
The Lea Athena Theodore was issued its 1306920806 by the Centers for Medicare & Medicaid Services on 2006-10-24.
When was the information regarding Lea Athena Theodore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lea Athena Theodore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.