Robert Patrick Moody in Modesto - Clinical
Robert Patrick Moody - NPI 1790900207
Robert Patrick Moody is a Clinical in Modesto, California. Robert Patrick Moody practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Patrick Moody is 1790900207. The last update date is 2018-01-17.
Robert Patrick Moody's current location address is 303 Downey Ave, Modesto, California. You can contact this provider via phone number 2098720331. The mailing address for Robert Patrick Moody is 303 Downey Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Patrick Moody |
|---|---|
| Address | 303 Downey Ave, Modesto, California |
| Phone Number | 2098720331 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1790900207 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2018-01-17 |
Provider Mailing Address Detail
| Address | 303 Downey Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953541203 |
| Phone Number | 2098720331 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 10974 |
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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 Robert Patrick Moody by the Centers for Medicare & Medicaid Services?
The Robert Patrick Moody has been issued the NPI (National Provider Identifier) 1790900207. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Robert Patrick Moody?
The Robert Patrick Moody is situated at 303 Downey Ave, in the city of Modesto, state of CA, with the zip code 953541203.
What is Robert Patrick Moody's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert Patrick Moody is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790900207 to Robert Patrick Moody?
The Centers for Medicare & Medicaid Services assigned the 1790900207 to Robert Patrick Moody on 2007-04-17.
As of what date were the details related to Robert Patrick Moody most recently updated or revised?
The information pertaining to Robert Patrick Moody, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-17.
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