Jennifer Cooke Staat in Wilmington - Psychologist
Jennifer Cooke Staat - NPI 1902883119
Jennifer Cooke Staat is a Psychologist in Wilmington, North Carolina. Jennifer Cooke Staat practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jennifer Cooke Staat is 1902883119. The last update date is 2007-10-30.
Jennifer Cooke Staat's current location address is 4608 Cedar Avenue, Wilmington, North Carolina. You can contact this provider via phone number 9105473093. The mailing address for Jennifer Cooke Staat is 4608 Cedar Avenue, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Cooke Staat |
|---|---|
| Address | 4608 Cedar Avenue, Wilmington, North Carolina |
| Phone Number | 9105473093 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1902883119 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 4608 Cedar Avenue |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 28403 |
| Phone Number | 9105473093 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2505 |
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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 |
|---|---|---|---|
| 240133 | NC | COMPSYCH | |
| NCMC034119 | NY | VALUE OPTIONS | |
| 046K0 | NC | BLUE CROSS BLUE SHIELD | |
| D6590 | NC | MEDCOST | |
| 6000577 | NC | -- |
Post Comment/ Review Below
Could you please share the complete physical address where Jennifer Cooke Staat is geographically located?
The Jennifer Cooke Staat is physically situated at the following location: 4608 Cedar Avenue, Wilmington, NC, 28403.
What is Jennifer Cooke Staat's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Cooke Staat is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
When did Jennifer Cooke Staat receive its 1902883119 assignment?
The Jennifer Cooke Staat was assigned its 1902883119 on 2005-12-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jennifer Cooke Staat last refreshed?
The information related to the Jennifer Cooke Staat, including its address, specialty, and other relevant details, was last updated on 2007-10-30.
When was the information regarding Jennifer Cooke Staat, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jennifer Cooke Staat, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-30.