Paul Modesto, Ph.D.,P.A. in Boca Raton - Clinical

Paul Modesto, Ph.D.,P.A. - NPI 1780683409

Paul Modesto, Ph.D.,P.A. is a Clinical in Boca Raton, Florida. Paul Modesto, Ph.D.,P.A. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Modesto, Ph.D.,P.A. is 1780683409. The last update date is 2011-10-06.

Paul Modesto, Ph.D.,P.A.'s current location address is 5301 N Federal Hwy, Boca Raton, Florida. You can contact this provider via phone number 5614216628 and fax number 5612418651. The mailing address for Paul Modesto, Ph.D.,P.A. is 5301 N Federal Hwy, Boca Raton, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Paul Modesto, Ph.D.,P.A.
Address 5301 N Federal Hwy, Boca Raton, Florida
Phone Number 5614216628
Fax Number 5612418651
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOLOGI
Authorized Official Name Modesto Paul
Credentials PH.D.
Telephone Number 5612416628

NPI Number Detail

NPI Number 1780683409
Provider Enumeration Date 2005-07-15
Last Updated Date 2011-10-06

Provider Mailing Address Detail

Address 5301 N Federal Hwy
City Boca Raton
State Florida (FL)
Post Code 334874910
Phone Number 5614216628
Fax Number 5612418651

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PY2368
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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FAQs about Paul Modesto, Ph.D.,P.A.

What is the Paul Modesto, Ph.D.,P.A.'s unique identification number?

The Paul Modesto, Ph.D.,P.A. has been assigned the NPI (National Provider Identifier) Number 1780683409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Paul Modesto, Ph.D.,P.A. is physically located?

The Paul Modesto, Ph.D.,P.A. is physically situated at the following address: 5301 N Federal Hwy, Boca Raton, FL, 334874910.

What is the Paul Modesto, Ph.D.,P.A.'s area of specialization and corresponding taxonomy classification?

The Paul Modesto, Ph.D.,P.A.'s specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1780683409 to Paul Modesto, Ph.D.,P.A.?

The Paul Modesto, Ph.D.,P.A. received its 1780683409 assignment from the Centers for Medicare & Medicaid Services on 2005-07-15.

As of what date were the details related to Paul Modesto, Ph.D.,P.A. most recently updated or revised?

The information pertaining to Paul Modesto, Ph.D.,P.A., including its address, specialty, and other relevant details, was last updated or revised on 2011-10-06.

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