Jacquelyn Erlene Flood in Lutz - Clinical
Jacquelyn Erlene Flood - NPI 1548430960
Jacquelyn Erlene Flood is a Clinical in Lutz, Florida. Jacquelyn Erlene Flood practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacquelyn Erlene Flood is 1548430960. The last update date is 2021-03-31.
Jacquelyn Erlene Flood's current location address is 262 Crystal Grove Blvd, Lutz, Florida. You can contact this provider via phone number 8133265915. The mailing address for Jacquelyn Erlene Flood is 262 Crystal Grove Blvd, Lutz, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Erlene Flood |
|---|---|
| Address | 262 Crystal Grove Blvd, Lutz, Florida |
| Phone Number | 8133265915 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1548430960 |
|---|---|
| Provider Enumeration Date | 2008-03-03 |
| Last Updated Date | 2021-03-31 |
Provider Mailing Address Detail
| Address | 262 Crystal Grove Blvd |
|---|---|
| City | Lutz |
| State | Florida (FL) |
| Post Code | 335486460 |
| Phone Number | 8133265915 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY 7586 |
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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 |
|---|---|---|---|
| 5933D | FL | BLUE CROSS BLUE SHIELD | |
| 768739700 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacquelyn Erlene Flood by the Centers for Medicare & Medicaid Services?
The Jacquelyn Erlene Flood has been issued the NPI (National Provider Identifier) 1548430960 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacquelyn Erlene Flood?
The Jacquelyn Erlene Flood is physically situated at 262 Crystal Grove Blvd, in the city of Lutz, state of FL, with the postal code 335486460.
What is the Jacquelyn Erlene Flood's specialty and taxonomy code?
The Jacquelyn Erlene Flood's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Jacquelyn Erlene Flood receive its 1548430960?
The Jacquelyn Erlene Flood was issued its 1548430960 on 2008-03-03, which is the date when the organization was assigned this unique identifier.
When was the Jacquelyn Erlene Flood's information last updated?
The Jacquelyn Erlene Flood's information was last updated on 2021-03-31.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY