Jerry Lee Teixeira in Newport Beach - Clinical
Jerry Lee Teixeira - NPI 1134275548
Jerry Lee Teixeira is a Clinical in Newport Beach, California. Jerry Lee Teixeira practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Lee Teixeira is 1134275548. The last update date is 2007-07-08.
Jerry Lee Teixeira's current location address is 200 Newport Center Dr, Newport Beach, California. You can contact this provider via phone number 9497602613. The mailing address for Jerry Lee Teixeira is 200 Newport Center Dr, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lee Teixeira |
|---|---|
| Address | 200 Newport Center Dr, Newport Beach, California |
| Phone Number | 9497602613 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1134275548 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Newport Center Dr |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926607501 |
| Phone Number | 9497602613 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY10216 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Jerry Lee Teixeira by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry Lee Teixeira has been assigned the NPI (National Provider Identifier) 1134275548. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jerry Lee Teixeira's facilities are situated?
The facilities of Jerry Lee Teixeira are physically located at the following address: 200 Newport Center Dr, Newport Beach, CA, 926607501.
What is Jerry Lee Teixeira's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Lee Teixeira is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Jerry Lee Teixeira receive its 1134275548 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Lee Teixeira was assigned its 1134275548 by the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the information related to Jerry Lee Teixeira most recently updated or refreshed?
The details pertaining to the Jerry Lee Teixeira, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.