Smockville Professional Services, Inc in Sherwood - Cognitive & Behavioral
Smockville Professional Services, Inc - NPI 1457526964
Smockville Professional Services, Inc is a Cognitive & Behavioral in Sherwood, Oregon. Smockville Professional Services, Inc practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Smockville Professional Services, Inc is 1457526964. The last update date is 2008-04-25.
Smockville Professional Services, Inc's current location address is 22344 Sw Main St, Sherwood, Oregon. You can contact this provider via phone number 5036252768 and fax number 5036253768. The mailing address for Smockville Professional Services, Inc is 22344 Sw Main St, Sherwood, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Smockville Professional Services, Inc |
|---|---|
| Address | 22344 Sw Main St, Sherwood, Oregon |
| Phone Number | 5036252768 |
| Fax Number | 5036253768 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Head Random Gene |
| Telephone Number | 5036252768 |
NPI Number Detail
| NPI Number | 1457526964 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2008-04-25 |
Provider Mailing Address Detail
| Address | 22344 Sw Main St |
|---|---|
| City | Sherwood |
| State | Oregon (OR) |
| Post Code | 971409416 |
| Phone Number | 5036252768 |
| Fax Number | 5036253768 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
|
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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What is the unique 10-digit identifier code assigned to Smockville Professional Services, Inc by the Centers for Medicare & Medicaid Services?
The Smockville Professional Services, Inc has been issued the NPI (National Provider Identifier) 1457526964 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 Smockville Professional Services, Inc is physically located?
The Smockville Professional Services, Inc is physically situated at the following address: 22344 Sw Main St, Sherwood, OR, 971409416.
What is Smockville Professional Services, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Smockville Professional Services, Inc's specialized field of practice is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this area of specialization is 103Tb0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457526964 to Smockville Professional Services, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1457526964 to Smockville Professional Services, Inc on 2008-04-25.
As of what date was the information regarding Smockville Professional Services, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Smockville Professional Services, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-25.