Jerry Edward Wesch in Sedona - Clinical

Jerry Edward Wesch - NPI 1285629261

Jerry Edward Wesch is a Clinical in Sedona, Arizona. Jerry Edward Wesch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Edward Wesch is 1285629261. The last update date is 2015-09-22.

Jerry Edward Wesch's current location address is 2235 Whippet Way, Sedona, Arizona. You can contact this provider via phone number 7738755483. The mailing address for Jerry Edward Wesch is 2235 Whippet Way, Sedona, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Edward Wesch
Address 2235 Whippet Way, Sedona, Arizona
Phone Number 7738755483
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1285629261
Provider Enumeration Date 2005-09-15
Last Updated Date 2015-09-22

Provider Mailing Address Detail

Address 2235 Whippet Way
City Sedona
State Arizona (AZ)
Post Code 863365905
Phone Number 7738755483
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 071-003536
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
680014846 IL MEDICARE RR

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FAQs about Jerry Edward Wesch

What is the Jerry Edward Wesch's 1285629261?

The Jerry Edward Wesch's NPI (National Provider Identifier) Number is 1285629261. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jerry Edward Wesch?

The Jerry Edward Wesch is situated at 2235 Whippet Way, in the city of Sedona, state of AZ, with the zip code 863365905.

What is Jerry Edward Wesch's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerry Edward Wesch's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

When did Jerry Edward Wesch receive its 1285629261 assignment?

The Jerry Edward Wesch was assigned its 1285629261 on 2005-09-15, which is the date when this unique identifier was issued to the organization.

When was the Jerry Edward Wesch's information last updated?

The Jerry Edward Wesch's information was last updated on 2015-09-22.

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