Laeeq Evered is a Clinical in Berkeley, California. Laeeq Evered practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laeeq Evered is 1619050069. The last update date is 2016-07-07.
Laeeq Evered's current location address is 2728 Durant Ave, Berkeley, California. You can contact this provider via phone number 9256859463 and fax number 9256859682. The mailing address for Laeeq Evered is 2728 Durant Ave, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laeeq Evered |
|---|---|
| Address | 2728 Durant Ave, Berkeley, California |
| Phone Number | 9256859463 |
| Fax Number | 9256859682 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1619050069 |
|---|---|
| Provider Enumeration Date | 2006-10-21 |
| Last Updated Date | 2016-07-07 |
Provider Mailing Address Detail
| Address | 2728 Durant Ave |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947041725 |
| Phone Number | 9256859463 |
| Fax Number | 9256859682 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18494 |
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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 Laeeq Evered's unique identification number?
The Laeeq Evered has been assigned the NPI (National Provider Identifier) Number 1619050069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Laeeq Evered?
The Laeeq Evered is situated at 2728 Durant Ave, in the city of Berkeley, state of CA, with the zip code 947041725.
What is Laeeq Evered's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Laeeq Evered's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date was the 1619050069 assigned to Laeeq Evered?
The Laeeq Evered was issued its 1619050069 on 2006-10-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Laeeq Evered's information last updated?
The Laeeq Evered's information was last updated on 2016-07-07.