Frederick P List in Greenville - Psychologist
Frederick P List - NPI 1740396886
Frederick P List is a Psychologist in Greenville, South Carolina. Frederick P List practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Frederick P List is 1740396886. The last update date is 2018-02-28.
Frederick P List's current location address is 200 Patewood Dr, Greenville, South Carolina. You can contact this provider via phone number 8644545115 and fax number 8644545146. The mailing address for Frederick P List is 200 Patewood Dr, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick P List |
|---|---|
| Address | 200 Patewood Dr, Greenville, South Carolina |
| Phone Number | 8644545115 |
| Fax Number | 8644545146 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1740396886 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2018-02-28 |
Provider Mailing Address Detail
| Address | 200 Patewood Dr |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296153593 |
| Phone Number | 8644545115 |
| Fax Number | 8644545146 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1086 |
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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 |
|---|---|---|---|
| 1305N | NC | BLUE CROSS/BLUE SHIELD | |
| 60-00266 | NC | -- |
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What is the unique identification code assigned to Frederick P List by the Centers for Medicare & Medicaid Services?
The Frederick P List has been issued the NPI (National Provider Identifier) 1740396886. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Frederick P List?
The Frederick P List is physically situated at 200 Patewood Dr, in the city of Greenville, state of SC, with the postal code 296153593.
What is Frederick P List's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Frederick P List is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Frederick P List receive the assignment of its 1740396886 from the Centers for Medicare & Medicaid Services?
The Frederick P List was issued its 1740396886 by the Centers for Medicare & Medicaid Services on 2006-08-22.
As of what date were the Frederick P List's details last updated?
The information pertaining to the Frederick P List, including its address, specialty, and other details, was most recently updated on 2018-02-28.