Theodore Alexander Daniel in Augusta - Clinical
Theodore Alexander Daniel - NPI 1730138207
Theodore Alexander Daniel is a Clinical in Augusta, Georgia. Theodore Alexander Daniel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theodore Alexander Daniel is 1730138207. The last update date is 2007-07-08.
Theodore Alexander Daniel's current location address is 2807 Springwood Dr, Augusta, Georgia. You can contact this provider via phone number 7067383621 and fax number 7067383621. The mailing address for Theodore Alexander Daniel is 2807 Springwood Dr, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Alexander Daniel |
|---|---|
| Address | 2807 Springwood Dr, Augusta, Georgia |
| Phone Number | 7067383621 |
| Fax Number | 7067383621 |
| Sole Proprietor | X |
| Credentials | PSYCHOLOGI |
NPI Number Detail
| NPI Number | 1730138207 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2807 Springwood Dr |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309092332 |
| Phone Number | 7067383621 |
| Fax Number | 7067383621 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1662 |
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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 |
|---|---|---|---|
| 00546433A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Theodore Alexander Daniel by the Centers for Medicare & Medicaid Services?
The Theodore Alexander Daniel has been issued the NPI (National Provider Identifier) 1730138207, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Theodore Alexander Daniel's facilities are situated?
The facilities of Theodore Alexander Daniel are physically located at the following address: 2807 Springwood Dr, Augusta, GA, 309092332.
What is the Theodore Alexander Daniel's specialty and taxonomy code?
The Theodore Alexander Daniel's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1730138207 assigned to Theodore Alexander Daniel?
The Theodore Alexander Daniel was issued its 1730138207 on 2006-05-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Theodore Alexander Daniel, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theodore Alexander Daniel, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.