Jerome Glynn Die is a Clinical in Little Rock, Arkansas. Jerome Glynn Die practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerome Glynn Die is 1609919612. The last update date is 2007-07-08.
Jerome Glynn Die's current location address is 5 Saint Vincent Cir, Little Rock, Arkansas. You can contact this provider via phone number 5016665242 and fax number 5016662430. The mailing address for Jerome Glynn Die is 5 Saint Vincent Cir, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Glynn Die |
|---|---|
| Address | 5 Saint Vincent Cir, Little Rock, Arkansas |
| Phone Number | 5016665242 |
| Fax Number | 5016662430 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1609919612 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5 Saint Vincent Cir |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722055412 |
| Phone Number | 5016665242 |
| Fax Number | 5016662430 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 92-25P |
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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 10-digit identification code assigned to Jerome Glynn Die by the Centers for Medicare & Medicaid Services?
The Jerome Glynn Die has been issued the NPI (National Provider Identifier) 1609919612, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jerome Glynn Die is physically located?
The Jerome Glynn Die is physically situated at the following address: 5 Saint Vincent Cir, Little Rock, AR, 722055412.
What is Jerome Glynn Die's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerome Glynn Die's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Jerome Glynn Die receive its 1609919612 assignment from the Centers for Medicare & Medicaid Services?
The Jerome Glynn Die was assigned its 1609919612 by the Centers for Medicare & Medicaid Services on 2007-02-15.
When was the information pertaining to Jerome Glynn Die most recently updated or revised?
The details related to Jerome Glynn Die, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH