Jason A Malcy is a Clinical in Martinsburg, . Jason A Malcy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jason A Malcy is 1245338763. The last update date is 2007-07-08.
Jason A Malcy's current location address is 510 Butler Ave, Martinsburg, . You can contact this provider via phone number 3042630811. The mailing address for Jason A Malcy is 510 Butler Ave, Martinsburg, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason A Malcy |
|---|---|
| Address | 510 Butler Ave, Martinsburg, |
| Phone Number | 3042630811 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1245338763 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 510 Butler Ave |
|---|---|
| City | Martinsburg |
| State | (WV) |
| Post Code | 254019990 |
| Phone Number | 3042630811 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4139 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Jason A Malcy by the Centers for Medicare & Medicaid Services (CMS)?
The Jason A Malcy has been assigned the NPI (National Provider Identifier) 1245338763. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jason A Malcy is physically located?
The Jason A Malcy is physically situated at the following address: 510 Butler Ave, Martinsburg, WV, 254019990.
What is Jason A Malcy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason A Malcy's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Jason A Malcy receive the assignment of its 1245338763 from the Centers for Medicare & Medicaid Services?
The Jason A Malcy was issued its 1245338763 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date was the information regarding Jason A Malcy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason A Malcy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.