Eddie Stuart Tessnear in Wilson - Psychologist
Eddie Stuart Tessnear - NPI 1528186582
Eddie Stuart Tessnear is a Psychologist in Wilson, North Carolina. Eddie Stuart Tessnear practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Eddie Stuart Tessnear is 1528186582. The last update date is 2007-07-09.
Eddie Stuart Tessnear's current location address is 2403 Wooten Blvd Sw, Wilson, North Carolina. You can contact this provider via phone number 2522911100. The mailing address for Eddie Stuart Tessnear is 2403 Wooten Blvd Sw, Wilson, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eddie Stuart Tessnear |
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Address | 2403 Wooten Blvd Sw, Wilson, North Carolina |
Phone Number | 2522911100 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1528186582 |
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Provider Enumeration Date | 2007-03-27 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 2403 Wooten Blvd Sw |
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City | Wilson |
State | North Carolina (NC) |
Post Code | 278934463 |
Phone Number | 2522911100 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 1506 |
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 |
---|---|---|---|
60-00054 | NC | -- | |
4662 | NC | BCBS OF NC |
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What is the unique 10-digit identification code issued to Eddie Stuart Tessnear by the Centers for Medicare & Medicaid Services?
The Eddie Stuart Tessnear has been assigned the NPI (National Provider Identifier) 1528186582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Eddie Stuart Tessnear is located?
The Eddie Stuart Tessnear is situated at the following address: 2403 Wooten Blvd Sw, Wilson, NC, 278934463.
What is Eddie Stuart Tessnear's area of expertise and its corresponding taxonomy classification?
The Eddie Stuart Tessnear's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Eddie Stuart Tessnear receive the assignment of its 1528186582 from the Centers for Medicare & Medicaid Services?
The Eddie Stuart Tessnear was issued its 1528186582 by the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date were the details pertaining to Eddie Stuart Tessnear last refreshed?
The information related to the Eddie Stuart Tessnear, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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