George Medzerian is a Clinical in Stuart, Florida. George Medzerian practices all healthcare services and medical treatments related to Clinical. The NPI Number for George Medzerian is 1134284920. The last update date is 2012-12-04.
George Medzerian's current location address is 850 Nw Federal Hwy # 114, Stuart, Florida. You can contact this provider via phone number 7722830013 and fax number 7724035817. The mailing address for George Medzerian is 850 Nw Federal Hwy # 114, Stuart, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Medzerian |
|---|---|
| Address | 850 Nw Federal Hwy # 114, Stuart, Florida |
| Phone Number | 7722830013 |
| Fax Number | 7724035817 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134284920 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2012-12-04 |
Provider Mailing Address Detail
| Address | 850 Nw Federal Hwy # 114 |
|---|---|
| City | Stuart |
| State | Florida (FL) |
| Post Code | 349941019 |
| Phone Number | 7722830013 |
| Fax Number | 7724035817 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0003086 |
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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 |
|---|---|---|---|
| 215000 | PHCS | ||
| 5371572 | AETNA | ||
| 89002 | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique identifier code issued to George Medzerian by the Centers for Medicare & Medicaid Services (CMS)?
The George Medzerian has been assigned the NPI (National Provider Identifier) 1134284920. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where George Medzerian is physically located?
The George Medzerian is situated at the following address: 850 Nw Federal Hwy # 114, Stuart, FL 349941019.
What is the George Medzerian's specialty and taxonomy code?
The George Medzerian's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134284920 to George Medzerian?
The George Medzerian received its 1134284920 assignment from the Centers for Medicare & Medicaid Services on 2006-12-22.
When was the information pertaining to George Medzerian most recently updated or revised?
The details related to George Medzerian, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-04.
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