Sara Ruth Favorite in San Antonio - Psychologist
Sara Ruth Favorite - NPI 1932128501
Sara Ruth Favorite is a Psychologist in San Antonio, Texas. Sara Ruth Favorite practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sara Ruth Favorite is 1932128501. The last update date is 2015-11-20.
Sara Ruth Favorite's current location address is 5625 Broadway Ave, San Antonio, Texas. You can contact this provider via phone number 2102645122 and fax number 2108227321. The mailing address for Sara Ruth Favorite is 5625 Broadway Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sara Ruth Favorite |
|---|---|
| Address | 5625 Broadway Ave, San Antonio, Texas |
| Phone Number | 2102645122 |
| Fax Number | 2108227321 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1932128501 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2015-11-20 |
Provider Mailing Address Detail
| Address | 5625 Broadway Ave |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 78209 |
| Phone Number | 2102645122 |
| Fax Number | 2108227321 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 32427 |
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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 |
|---|---|---|---|
| 1690638-01 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sara Ruth Favorite?
The Sara Ruth Favorite has been issued the NPI (National Provider Identifier) 1932128501 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Sara Ruth Favorite's physical address?
The Sara Ruth Favorite is physically located at 5625 Broadway Ave, in the city of San Antonio, TX, with the postal code 78209.
What is Sara Ruth Favorite's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sara Ruth Favorite is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Sara Ruth Favorite receive the assignment of its 1932128501 from the Centers for Medicare & Medicaid Services?
The Sara Ruth Favorite was issued its 1932128501 by the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date was the information pertaining to Sara Ruth Favorite, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sara Ruth Favorite, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-20.