Michael Read Fordham in Salt Lake City - Psychologist

Michael Read Fordham - NPI 1124119425

Michael Read Fordham is a Psychologist in Salt Lake City, Utah. Michael Read Fordham practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael Read Fordham is 1124119425. The last update date is 2008-09-24.

Michael Read Fordham's current location address is 501 Chipeta Way, Salt Lake City, Utah. You can contact this provider via phone number 8015873208 and fax number 8015858410. The mailing address for Michael Read Fordham is 501 Chipeta Way, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Read Fordham
Address 501 Chipeta Way, Salt Lake City, Utah
Phone Number 8015873208
Fax Number 8015858410
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1124119425
Provider Enumeration Date 2006-09-28
Last Updated Date 2008-09-24

Provider Mailing Address Detail

Address 501 Chipeta Way
City Salt Lake City
State Utah (UT)
Post Code 841081222
Phone Number 8015873208
Fax Number 8015858410

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 105393-2501
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 Michael Read Fordham

What is the unique 10-digit identification code assigned to Michael Read Fordham by the Centers for Medicare & Medicaid Services?

The Michael Read Fordham has been issued the NPI (National Provider Identifier) 1124119425, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michael Read Fordham is physically located?

The Michael Read Fordham is physically situated at the following address: 501 Chipeta Way, Salt Lake City, UT, 841081222.

What is Michael Read Fordham'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 Michael Read Fordham is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

On what date was the 1124119425 assigned to Michael Read Fordham?

The Michael Read Fordham was issued its 1124119425 on 2006-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Michael Read Fordham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael Read Fordham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-09-24.

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