Richard Jay Reisboard in Ardmore - Psychologist
Richard Jay Reisboard - NPI 1922268671
Richard Jay Reisboard is a Psychologist in Ardmore, Pennsylvania. Richard Jay Reisboard practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Richard Jay Reisboard is 1922268671. The last update date is 2008-06-16.
Richard Jay Reisboard's current location address is 119 Coulter Ave, Ardmore, Pennsylvania. You can contact this provider via phone number 2158968666. The mailing address for Richard Jay Reisboard is 119 Coulter Ave, Ardmore, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Jay Reisboard |
|---|---|
| Address | 119 Coulter Ave, Ardmore, Pennsylvania |
| Phone Number | 2158968666 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922268671 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 119 Coulter Ave |
|---|---|
| City | Ardmore |
| State | Pennsylvania (PA) |
| Post Code | 190032427 |
| Phone Number | 2158968666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS002257-L |
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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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What is the unique 10-digit identifier code assigned to Richard Jay Reisboard by the Centers for Medicare & Medicaid Services?
The Richard Jay Reisboard has been issued the NPI (National Provider Identifier) 1922268671 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Richard Jay Reisboard's facilities are geographically located?
The facilities of Richard Jay Reisboard are physically situated at the following location: 119 Coulter Ave, Ardmore, PA, 190032427.
What is Richard Jay Reisboard'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 Richard Jay Reisboard 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 1922268671 to Richard Jay Reisboard?
The Centers for Medicare & Medicaid Services assigned the 1922268671 to Richard Jay Reisboard on 2008-06-16.
When was the information pertaining to Richard Jay Reisboard most recently updated or revised?
The details related to Richard Jay Reisboard, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-16.