Jacky Pepper, Psy D, Inc in Coral Springs - Clinical
Jacky Pepper, Psy D, Inc - NPI 1841321791
Jacky Pepper, Psy D, Inc is a Clinical in Coral Springs, Florida. Jacky Pepper, Psy D, Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacky Pepper, Psy D, Inc is 1841321791. The last update date is 2012-12-07.
Jacky Pepper, Psy D, Inc's current location address is 1500 N University Dr, Coral Springs, Florida. You can contact this provider via phone number 9543452292 and fax number 9543418101. The mailing address for Jacky Pepper, Psy D, Inc is 1500 N University Dr, Coral Springs, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacky Pepper, Psy D, Inc |
|---|---|
| Address | 1500 N University Dr, Coral Springs, Florida |
| Phone Number | 9543452292 |
| Fax Number | 9543418101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pepper Jacky |
| Credentials | PSY.D. |
| Telephone Number | 9542320044 |
NPI Number Detail
| NPI Number | 1841321791 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2012-12-07 |
Provider Mailing Address Detail
| Address | 1500 N University Dr |
|---|---|
| City | Coral Springs |
| State | Florida (FL) |
| Post Code | 330718914 |
| Phone Number | 9543452292 |
| Fax Number | 9543418101 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY6102 |
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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 |
|---|---|---|---|
| 54571 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacky Pepper, Psy D, Inc by the Centers for Medicare & Medicaid Services?
The Jacky Pepper, Psy D, Inc has been issued the NPI (National Provider Identifier) 1841321791 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jacky Pepper, Psy D, Inc's facilities are geographically located?
The facilities of Jacky Pepper, Psy D, Inc are physically situated at the following location: 1500 N University Dr, Coral Springs, FL, 330718914.
What is Jacky Pepper, Psy D, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacky Pepper, Psy D, Inc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1841321791 assigned to Jacky Pepper, Psy D, Inc?
The Jacky Pepper, Psy D, Inc was issued its 1841321791 on 2007-03-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jacky Pepper, Psy D, Inc last refreshed?
The information related to the Jacky Pepper, Psy D, Inc, including its address, specialty, and other relevant details, was last updated on 2012-12-07.