James Ralph Smith is a Clinical in Champaign, Illinois. James Ralph Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Ralph Smith is 1659364180. The last update date is 2012-09-17.
James Ralph Smith's current location address is 2506 Galen Dr, Champaign, Illinois. You can contact this provider via phone number 2173980744 and fax number 2173980778. The mailing address for James Ralph Smith is 2506 Galen Dr, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Ralph Smith |
|---|---|
| Address | 2506 Galen Dr, Champaign, Illinois |
| Phone Number | 2173980744 |
| Fax Number | 2173980778 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1659364180 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2012-09-17 |
Provider Mailing Address Detail
| Address | 2506 Galen Dr |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618217046 |
| Phone Number | 2173980744 |
| Fax Number | 2173980778 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-003744 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to James Ralph Smith by the Centers for Medicare & Medicaid Services (CMS)?
The James Ralph Smith has been assigned the NPI (National Provider Identifier) 1659364180. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the James Ralph Smith located?
The James Ralph Smith is located at 2506 Galen Dr, Champaign, IL 618217046.
What is the area of specialization for James Ralph Smith, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James Ralph Smith is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1659364180 assigned to James Ralph Smith?
The James Ralph Smith was issued its 1659364180 on 2005-08-30, 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 James Ralph Smith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to James Ralph Smith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-17.