Jason Donald Gage is a Clinical in Boise, Idaho. Jason Donald Gage practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jason Donald Gage is 1548250699. The last update date is 2008-01-31.
Jason Donald Gage's current location address is 311 Allumbaugh St, Boise, Idaho. You can contact this provider via phone number 2083756402 and fax number 2083231850. The mailing address for Jason Donald Gage is 311 Allumbaugh St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Donald Gage |
|---|---|
| Address | 311 Allumbaugh St, Boise, Idaho |
| Phone Number | 2083756402 |
| Fax Number | 2083231850 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1548250699 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 311 Allumbaugh St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837049208 |
| Phone Number | 2083756402 |
| Fax Number | 2083231850 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY202-302 |
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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 Jason Donald Gage by the Centers for Medicare & Medicaid Services?
The Jason Donald Gage has been issued the NPI (National Provider Identifier) 1548250699 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 Jason Donald Gage's facilities are geographically located?
The facilities of Jason Donald Gage are physically situated at the following location: 311 Allumbaugh St, Boise, ID, 837049208.
What is Jason Donald Gage's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Donald Gage is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Jason Donald Gage receive its 1548250699 assignment from the Centers for Medicare & Medicaid Services?
The Jason Donald Gage was assigned its 1548250699 by the Centers for Medicare & Medicaid Services on 2005-10-28.
As of what date was the information regarding Jason Donald Gage, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason Donald Gage, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-31.
NPI Number: 1427148592
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