David Anthony Lacerda in Fort Worth - Addiction (substance Use Disorder)
David Anthony Lacerda - NPI 1740333871
David Anthony Lacerda is a Addiction (substance Use Disorder) in Fort Worth, Texas. David Anthony Lacerda practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for David Anthony Lacerda is 1740333871. The last update date is 2007-07-08.
David Anthony Lacerda's current location address is 1115 Pennsylvania Ave Ste B, Fort Worth, Texas. You can contact this provider via phone number 8173327920. The mailing address for David Anthony Lacerda is 1115 Pennsylvania Ave Ste B, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Anthony Lacerda |
|---|---|
| Address | 1115 Pennsylvania Ave Ste B, Fort Worth, Texas |
| Phone Number | 8173327920 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1740333871 |
|---|---|
| Provider Enumeration Date | 2007-01-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1115 Pennsylvania Ave Ste B |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761042153 |
| Phone Number | 8173327920 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | TSBEP2-0810 |
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Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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What is the unique 10-digit identifier code assigned to David Anthony Lacerda by the Centers for Medicare & Medicaid Services?
The David Anthony Lacerda has been issued the NPI (National Provider Identifier) 1740333871 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where David Anthony Lacerda is located?
The David Anthony Lacerda is situated at the following address: 1115 Pennsylvania Ave Ste B, Fort Worth, TX, 761042153.
What is David Anthony Lacerda's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Anthony Lacerda's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 103Ta0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740333871 to David Anthony Lacerda?
The David Anthony Lacerda received its 1740333871 assignment from the Centers for Medicare & Medicaid Services on 2007-01-20.
As of what date were the David Anthony Lacerda's details last updated?
The information pertaining to the David Anthony Lacerda, including its address, specialty, and other details, was most recently updated on 2007-07-08.