Jason Deselms is a Clinical in Mcconnell Afb, Kansas. Jason Deselms practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jason Deselms is 1518909357. The last update date is 2023-05-04.
Jason Deselms's current location address is 57950 Leavenworth St, Mcconnell Afb, Kansas. You can contact this provider via phone number 3167595095. The mailing address for Jason Deselms is 57950 Leavenworth St, Mcconnell Afb, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Deselms |
|---|---|
| Address | 57950 Leavenworth St, Mcconnell Afb, Kansas |
| Phone Number | 3167595095 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LP |
NPI Number Detail
| NPI Number | 1518909357 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2023-05-04 |
Provider Mailing Address Detail
| Address | 57950 Leavenworth St |
|---|---|
| City | Mcconnell Afb |
| State | Kansas (KS) |
| Post Code | 672213505 |
| Phone Number | 3167595095 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1312 |
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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 Jason Deselms's unique identification number?
The Jason Deselms has been assigned the NPI (National Provider Identifier) Number 1518909357 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jason Deselms's facilities are geographically located?
The facilities of Jason Deselms are physically situated at the following location: 57950 Leavenworth St, Mcconnell Afb, KS, 672213505.
What is Jason Deselms's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Deselms is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518909357 to Jason Deselms?
The Centers for Medicare & Medicaid Services assigned the 1518909357 to Jason Deselms on 2006-06-12.
When was the information regarding Jason Deselms, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Deselms, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-05-04.