Jack Saul Wasserman in Newport Beach - Clinical
Jack Saul Wasserman - NPI 1225134893
Jack Saul Wasserman is a Clinical in Newport Beach, California. Jack Saul Wasserman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Saul Wasserman is 1225134893. The last update date is 2019-01-22.
Jack Saul Wasserman's current location address is 1101 Dove St, Newport Beach, California. You can contact this provider via phone number 7148126869. The mailing address for Jack Saul Wasserman is 1101 Dove St, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Saul Wasserman |
|---|---|
| Address | 1101 Dove St, Newport Beach, California |
| Phone Number | 7148126869 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1225134893 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2019-01-22 |
Provider Mailing Address Detail
| Address | 1101 Dove St |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926602839 |
| Phone Number | 7148126869 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 11898 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1225134893 | CA | 103TA0400X |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Saul Wasserman by the Centers for Medicare & Medicaid Services?
The Jack Saul Wasserman has been issued the NPI (National Provider Identifier) 1225134893 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jack Saul Wasserman is located?
The Jack Saul Wasserman is situated at the following address: 1101 Dove St, Newport Beach, CA, 926602839.
What is Jack Saul Wasserman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Saul Wasserman is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1225134893 to Jack Saul Wasserman?
The Jack Saul Wasserman received its 1225134893 assignment from the Centers for Medicare & Medicaid Services on 2006-09-14.
When was the information regarding Jack Saul Wasserman most recently updated?
The details pertaining to the Jack Saul Wasserman, including its address, specialty, and other relevant information, were last refreshed on 2019-01-22.
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