Pennie R. Dexter is a Clinical in Nederland, Colorado. Pennie R. Dexter practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pennie R. Dexter is 1053418475. The last update date is 2007-07-08.
Pennie R. Dexter's current location address is Po Box 1102, Nederland, Colorado. You can contact this provider via phone number 3036013416 and fax number 3032589356. The mailing address for Pennie R. Dexter is Po Box 1102, Nederland, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pennie R. Dexter |
|---|---|
| Address | Po Box 1102, Nederland, Colorado |
| Phone Number | 3036013416 |
| Fax Number | 3032589356 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1053418475 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1102 |
|---|---|
| City | Nederland |
| State | Colorado (CO) |
| Post Code | 804661102 |
| Phone Number | 3036013416 |
| Fax Number | 3032589356 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY2854 |
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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 |
|---|---|---|---|
| 11572163 | CO | CAQH UNIVERSAL CREDENTIAL |
Post Comment/ Review Below
What is the unique identifier code issued to Pennie R. Dexter by the Centers for Medicare & Medicaid Services?
The Pennie R. Dexter has been assigned the NPI (National Provider Identifier) 1053418475. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pennie R. Dexter's facilities are geographically located?
The facilities of Pennie R. Dexter are physically situated at the following location: Po Box 1102, Nederland, CO, 804661102.
What is Pennie R. Dexter's area of expertise and its corresponding taxonomy classification?
The Pennie R. Dexter's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Pennie R. Dexter receive its 1053418475 assignment from the Centers for Medicare & Medicaid Services?
The Pennie R. Dexter was assigned its 1053418475 on 2006-09-20, 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 Pennie R. Dexter, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pennie R. Dexter, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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