Jason B Deleeuw is a Clinical in Ft. Campbell, Kentucky. Jason B Deleeuw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jason B Deleeuw is 1992852453. The last update date is 2007-07-08.
Jason B Deleeuw's current location address is 650 Joel Dr., Ft. Campbell, Kentucky. You can contact this provider via phone number 2707988727 and fax number 2709560180. The mailing address for Jason B Deleeuw is 650 Joel Dr., Ft. Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason B Deleeuw |
|---|---|
| Address | 650 Joel Dr., Ft. Campbell, Kentucky |
| Phone Number | 2707988727 |
| Fax Number | 2709560180 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992852453 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 650 Joel Dr. |
|---|---|
| City | Ft. Campbell |
| State | Kentucky (KY) |
| Post Code | 422235349 |
| Phone Number | 2707988727 |
| Fax Number | 2709560180 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1052 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Jason B Deleeuw by the Centers for Medicare & Medicaid Services?
The Jason B Deleeuw has been assigned the NPI (National Provider Identifier) 1992852453. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jason B Deleeuw is located?
The Jason B Deleeuw is situated at the following address: 650 Joel Dr., Ft. Campbell, KY, 422235349.
What is Jason B Deleeuw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason B Deleeuw is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992852453 to Jason B Deleeuw?
The Jason B Deleeuw received its 1992852453 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date was the information pertaining to Jason B Deleeuw, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason B Deleeuw, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.