Carlos Miguel Loredo in Austin - Psychologist
Carlos Miguel Loredo - NPI 1104978113
Carlos Miguel Loredo is a Psychologist in Austin, Texas. Carlos Miguel Loredo practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Carlos Miguel Loredo is 1104978113. The last update date is 2007-07-08.
Carlos Miguel Loredo's current location address is 2111 Montclaire St, Austin, Texas. You can contact this provider via phone number 5124430190 and fax number 5123264818. The mailing address for Carlos Miguel Loredo is 2111 Montclaire St, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carlos Miguel Loredo |
|---|---|
| Address | 2111 Montclaire St, Austin, Texas |
| Phone Number | 5124430190 |
| Fax Number | 5123264818 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104978113 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2111 Montclaire St |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787043909 |
| Phone Number | 5124430190 |
| Fax Number | 5123264818 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2-1637 |
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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 10-digit identifier code assigned to Carlos Miguel Loredo by the Centers for Medicare & Medicaid Services?
The Carlos Miguel Loredo has been issued the NPI (National Provider Identifier) 1104978113 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Carlos Miguel Loredo is physically located?
The Carlos Miguel Loredo is physically situated at the following address: 2111 Montclaire St, Austin, TX, 787043909.
What is Carlos Miguel Loredo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carlos Miguel Loredo is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104978113 to Carlos Miguel Loredo?
The Centers for Medicare & Medicaid Services originally issued the 1104978113 to Carlos Miguel Loredo on 2007-01-18.
As of what date were the Carlos Miguel Loredo's details last updated?
The information pertaining to the Carlos Miguel Loredo, including its address, specialty, and other details, was most recently updated on 2007-07-08.