John P Rucker in Fayetteville - Psychologist

John P Rucker - NPI 1821080292

John P Rucker is a Psychologist in Fayetteville, North Carolina. John P Rucker practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John P Rucker is 1821080292. The last update date is 2012-01-13.

John P Rucker's current location address is 6885 Cliffdale Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9103390400 and fax number 9103390396. The mailing address for John P Rucker is 6885 Cliffdale Rd, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name John P Rucker
Address 6885 Cliffdale Rd, Fayetteville, North Carolina
Phone Number 9103390400
Fax Number 9103390396
Sole Proprietor N
Credentials PHD ED.D.

NPI Number Detail

NPI Number 1821080292
Provider Enumeration Date 2005-08-22
Last Updated Date 2012-01-13

Provider Mailing Address Detail

Address 6885 Cliffdale Rd
City Fayetteville
State North Carolina (NC)
Post Code 283142833
Phone Number 9103390400
Fax Number 9103390396

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 1230
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0384W NC BSBCNC
6000078 NC --
680011983 NC RR MEDICARE

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FAQs about John P Rucker

What is the unique 10-digit identification code issued to John P Rucker by the Centers for Medicare & Medicaid Services?

The John P Rucker has been assigned the NPI (National Provider Identifier) 1821080292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of John P Rucker?

The John P Rucker is situated at 6885 Cliffdale Rd, in the city of Fayetteville, state of NC, with the zip code 283142833.

What is the John P Rucker's area of specialization and corresponding taxonomy classification?

The John P Rucker'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 assign the 1821080292 to John P Rucker?

The Centers for Medicare & Medicaid Services assigned the 1821080292 to John P Rucker on 2005-08-22.

As of what date were the John P Rucker's details last updated?

The information pertaining to the John P Rucker, including its address, specialty, and other details, was most recently updated on 2012-01-13.

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