Larry Foster Waldman in Phoenix - Clinical
Larry Foster Waldman - NPI 1396790036
Larry Foster Waldman is a Clinical in Phoenix, Arizona. Larry Foster Waldman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry Foster Waldman is 1396790036. The last update date is 2007-07-08.
Larry Foster Waldman's current location address is 11020 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 6029968619 and fax number 6029967932. The mailing address for Larry Foster Waldman is 11020 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Foster Waldman |
|---|---|
| Address | 11020 N Tatum Blvd, Phoenix, Arizona |
| Phone Number | 6029968619 |
| Fax Number | 6029967932 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1396790036 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11020 N Tatum Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85028 |
| Phone Number | 6029968619 |
| Fax Number | 6029967932 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 834 |
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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 identification code assigned to Larry Foster Waldman by the Centers for Medicare & Medicaid Services?
The Larry Foster Waldman has been issued the NPI (National Provider Identifier) 1396790036. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Larry Foster Waldman?
The Larry Foster Waldman is physically situated at 11020 N Tatum Blvd, in the city of Phoenix, state of AZ, with the postal code 85028.
What is Larry Foster Waldman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry Foster Waldman's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Larry Foster Waldman receive its 1396790036 assignment from the Centers for Medicare & Medicaid Services?
The Larry Foster Waldman was assigned its 1396790036 on 2006-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Larry Foster Waldman last refreshed?
The information related to the Larry Foster Waldman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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