Fred Joseph Rahaim in Jacksonville - Clinical
Fred Joseph Rahaim - NPI 1265475412
Fred Joseph Rahaim is a Clinical in Jacksonville, Florida. Fred Joseph Rahaim practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fred Joseph Rahaim is 1265475412. The last update date is 2007-07-08.
Fred Joseph Rahaim's current location address is 5635 Crest Creek Dr, Jacksonville, Florida. You can contact this provider via phone number 9048807095 and fax number 9048800652. The mailing address for Fred Joseph Rahaim is 5635 Crest Creek Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Joseph Rahaim |
|---|---|
| Address | 5635 Crest Creek Dr, Jacksonville, Florida |
| Phone Number | 9048807095 |
| Fax Number | 9048800652 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265475412 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5635 Crest Creek Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322585358 |
| Phone Number | 9048807095 |
| Fax Number | 9048800652 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0002524 |
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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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What is the unique 10-digit identifier code assigned to Fred Joseph Rahaim by the Centers for Medicare & Medicaid Services?
The Fred Joseph Rahaim has been issued the NPI (National Provider Identifier) 1265475412 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 Fred Joseph Rahaim is located?
The Fred Joseph Rahaim is situated at the following address: 5635 Crest Creek Dr, Jacksonville, FL, 322585358.
What is Fred Joseph Rahaim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fred Joseph Rahaim's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Fred Joseph Rahaim receive the assignment of its 1265475412 from the Centers for Medicare & Medicaid Services?
The Fred Joseph Rahaim was issued its 1265475412 by the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date were the details related to Fred Joseph Rahaim most recently updated or revised?
The information pertaining to Fred Joseph Rahaim, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.