Edward William Reicks in Fullerton - Clinical
Edward William Reicks - NPI 1083768733
Edward William Reicks is a Clinical in Fullerton, California. Edward William Reicks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward William Reicks is 1083768733. The last update date is 2012-02-02.
Edward William Reicks's current location address is 1440 N Harbor Blvd, Fullerton, California. You can contact this provider via phone number 7148797091 and fax number 7144410914. The mailing address for Edward William Reicks is 1440 N Harbor Blvd, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward William Reicks |
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Address | 1440 N Harbor Blvd, Fullerton, California |
Phone Number | 7148797091 |
Fax Number | 7144410914 |
Sole Proprietor | Y |
Credentials | PH,D, |
NPI Number Detail
NPI Number | 1083768733 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2012-02-02 |
Provider Mailing Address Detail
Address | 1440 N Harbor Blvd |
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City | Fullerton |
State | California (CA) |
Post Code | 928354127 |
Phone Number | 7148797091 |
Fax Number | 7144410914 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PSY 11010 |
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 |
---|---|---|---|
OPL 11010 | CA | USBH | |
PSY 11010 | CA | STATE LICENSE | |
PSY11010 | CA | -- | |
CP11010 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edward William Reicks?
The Edward William Reicks has been issued the NPI (National Provider Identifier) 1083768733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Edward William Reicks is geographically located?
The Edward William Reicks is physically situated at the following location: 1440 N Harbor Blvd, Fullerton, CA, 928354127.
What is Edward William Reicks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edward William Reicks's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did Edward William Reicks receive its 1083768733 assignment from the Centers for Medicare & Medicaid Services?
The Edward William Reicks was assigned its 1083768733 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Edward William Reicks, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward William Reicks, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-02-02.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA