Mary Ten Broech Durso in Pocono Lake - Psychologist
Mary Ten Broech Durso - NPI 1942259619
Mary Ten Broech Durso is a Psychologist in Pocono Lake, Pennsylvania. Mary Ten Broech Durso practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Ten Broech Durso is 1942259619. The last update date is 2014-04-09.
Mary Ten Broech Durso's current location address is Hc 88 Box 434, Pocono Lake, Pennsylvania. You can contact this provider via phone number 5706460870 and fax number 5704035079. The mailing address for Mary Ten Broech Durso is Hc 88 Box 434, Pocono Lake, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ten Broech Durso |
|---|---|
| Address | Hc 88 Box 434, Pocono Lake, Pennsylvania |
| Phone Number | 5706460870 |
| Fax Number | 5704035079 |
| Sole Proprietor | Y |
| Credentials | LICENSED P |
NPI Number Detail
| NPI Number | 1942259619 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2014-04-09 |
Provider Mailing Address Detail
| Address | Hc 88 Box 434 |
|---|---|
| City | Pocono Lake |
| State | Pennsylvania (PA) |
| Post Code | 183479512 |
| Phone Number | 5706460870 |
| Fax Number | 5704035079 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS006873L |
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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 |
|---|---|---|---|
| 16193400002 | PA | -- | |
| 80953 | PA | FIRST PRIORITY HLTH | |
| 2056962 | PA | CIGNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Ten Broech Durso?
The Mary Ten Broech Durso has been issued the NPI (National Provider Identifier) 1942259619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mary Ten Broech Durso's facilities are geographically located?
The facilities of Mary Ten Broech Durso are physically situated at the following location: Hc 88 Box 434, Pocono Lake, PA, 183479512.
What is Mary Ten Broech Durso's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Ten Broech Durso's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the Mary Ten Broech Durso receive its 1942259619?
The Mary Ten Broech Durso was issued its 1942259619 on 2006-05-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Mary Ten Broech Durso last refreshed?
The information related to the Mary Ten Broech Durso, including its address, specialty, and other relevant details, was last updated on 2014-04-09.