Marthalee T Brod in Mount Gretna - Psychologist
Marthalee T Brod - NPI 1932158417
Marthalee T Brod is a Psychologist in Mount Gretna, Pennsylvania. Marthalee T Brod practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Marthalee T Brod is 1932158417. The last update date is 2016-04-12.
Marthalee T Brod's current location address is 222 Harvard Ave, Mount Gretna, Pennsylvania. You can contact this provider via phone number 7179641850 and fax number 7179641850. The mailing address for Marthalee T Brod is 222 Harvard Ave, Mount Gretna, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marthalee T Brod |
|---|---|
| Address | 222 Harvard Ave, Mount Gretna, Pennsylvania |
| Phone Number | 7179641850 |
| Fax Number | 7179641850 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1932158417 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2016-04-12 |
Provider Mailing Address Detail
| Address | 222 Harvard Ave |
|---|---|
| City | Mount Gretna |
| State | Pennsylvania (PA) |
| Post Code | 17064 |
| Phone Number | 7179641850 |
| Fax Number | 7179641850 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS007990L |
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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 |
|---|---|---|---|
| 17546030005 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marthalee T Brod by the Centers for Medicare & Medicaid Services?
The Marthalee T Brod has been assigned the NPI (National Provider Identifier) 1932158417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Marthalee T Brod?
The Marthalee T Brod is physically situated at 222 Harvard Ave, in the city of Mount Gretna, state of PA, with the postal code 17064.
What is Marthalee T Brod's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marthalee T Brod's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932158417 to Marthalee T Brod?
The Marthalee T Brod received its 1932158417 assignment from the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date were the Marthalee T Brod's details last updated?
The information pertaining to the Marthalee T Brod, including its address, specialty, and other details, was most recently updated on 2016-04-12.