John C Grisbacher in East Petersburg - Psychologist
John C Grisbacher - NPI 1619976677
John C Grisbacher is a Psychologist in East Petersburg, Pennsylvania. John C Grisbacher practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John C Grisbacher is 1619976677. The last update date is 2007-07-08.
John C Grisbacher's current location address is 6079 Main St, East Petersburg, Pennsylvania. You can contact this provider via phone number 7175601908 and fax number 7175604941. The mailing address for John C Grisbacher is 6079 Main St, East Petersburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John C Grisbacher |
|---|---|
| Address | 6079 Main St, East Petersburg, Pennsylvania |
| Phone Number | 7175601908 |
| Fax Number | 7175604941 |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1619976677 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6079 Main St |
|---|---|
| City | East Petersburg |
| State | Pennsylvania (PA) |
| Post Code | 175201267 |
| Phone Number | 7175601908 |
| Fax Number | 7175604941 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS007811L |
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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 identifier code issued to John C Grisbacher by the Centers for Medicare & Medicaid Services?
The John C Grisbacher has been assigned the NPI (National Provider Identifier) 1619976677. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where John C Grisbacher's facilities are situated?
The facilities of John C Grisbacher are physically located at the following address: 6079 Main St, East Petersburg, PA, 175201267.
What is John C Grisbacher's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John C Grisbacher's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619976677 to John C Grisbacher?
The John C Grisbacher received its 1619976677 assignment from the Centers for Medicare & Medicaid Services on 2005-07-20.
When was the information pertaining to John C Grisbacher most recently updated or revised?
The details related to John C Grisbacher, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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