Jeffrey Scott Speiden in Indianapolis - Clinical

Jeffrey Scott Speiden - NPI 1063454700

Jeffrey Scott Speiden is a Clinical in Indianapolis, Indiana. Jeffrey Scott Speiden practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey Scott Speiden is 1063454700. The last update date is 2007-07-08.

Jeffrey Scott Speiden's current location address is 4845 Goldenrain Court, Indianapolis, Indiana. You can contact this provider via phone number 3174407992 and fax number 3177911939. The mailing address for Jeffrey Scott Speiden is 4845 Goldenrain Court, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Scott Speiden
Address 4845 Goldenrain Court, Indianapolis, Indiana
Phone Number 3174407992
Fax Number 3177911939
Sole Proprietor N
Credentials PH D HSPP

NPI Number Detail

NPI Number 1063454700
Provider Enumeration Date 2006-06-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4845 Goldenrain Court
City Indianapolis
State Indiana (IN)
Post Code 462372564
Phone Number 3174407992
Fax Number 3177911939

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 20040943A
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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FAQs about Jeffrey Scott Speiden

What is the Jeffrey Scott Speiden's 1063454700?

The Jeffrey Scott Speiden's NPI (National Provider Identifier) Number is 1063454700. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jeffrey Scott Speiden is physically located?

The Jeffrey Scott Speiden is physically situated at the following address: 4845 Goldenrain Court, Indianapolis, IN, 462372564.

What is Jeffrey Scott Speiden's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jeffrey Scott Speiden's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date did the Jeffrey Scott Speiden receive its 1063454700 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey Scott Speiden was assigned its 1063454700 by the Centers for Medicare & Medicaid Services on 2006-06-10.

When was the information pertaining to Jeffrey Scott Speiden most recently updated or revised?

The details related to Jeffrey Scott Speiden, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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