Douglas Lietzke in Pottstown - Psychologist

Douglas Lietzke - NPI 1437106150

Douglas Lietzke is a Psychologist in Pottstown, Pennsylvania. Douglas Lietzke practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Douglas Lietzke is 1437106150. The last update date is 2007-07-08.

Douglas Lietzke's current location address is 1446 Farmington Ave, Pottstown, Pennsylvania. You can contact this provider via phone number 6103238844 and fax number 6109870276. The mailing address for Douglas Lietzke is 1446 Farmington Ave, Pottstown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Lietzke
Address 1446 Farmington Ave, Pottstown, Pennsylvania
Phone Number 6103238844
Fax Number 6109870276
Sole Proprietor X
Credentials PSYCHOLOGI

NPI Number Detail

NPI Number 1437106150
Provider Enumeration Date 2006-05-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1446 Farmington Ave
City Pottstown
State Pennsylvania (PA)
Post Code 194641892
Phone Number 6103238844
Fax Number 6109870276

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PS000394L
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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FAQs about Douglas Lietzke

What is the unique 10-digit identifier code issued to Douglas Lietzke by the Centers for Medicare & Medicaid Services?

The Douglas Lietzke has been assigned the NPI (National Provider Identifier) 1437106150 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Douglas Lietzke's facilities are geographically located?

The facilities of Douglas Lietzke are physically situated at the following location: 1446 Farmington Ave, Pottstown, PA, 194641892.

What is the area of specialization for Douglas Lietzke, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Douglas Lietzke is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

On what date did the Douglas Lietzke receive its 1437106150 assignment from the Centers for Medicare & Medicaid Services?

The Douglas Lietzke was assigned its 1437106150 by the Centers for Medicare & Medicaid Services on 2006-05-28.

When was the information related to Douglas Lietzke most recently updated or refreshed?

The details pertaining to the Douglas Lietzke, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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