Jack Teeple is a Clinical in Louisville, Kentucky. Jack Teeple practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Teeple is 1699884387. The last update date is 2007-07-08.
Jack Teeple's current location address is 455 S 4th St Ste 842, Louisville, Kentucky. You can contact this provider via phone number 5025847216 and fax number 5025855373. The mailing address for Jack Teeple is 455 S 4th St Ste 842, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Teeple |
|---|---|
| Address | 455 S 4th St Ste 842, Louisville, Kentucky |
| Phone Number | 5025847216 |
| Fax Number | 5025855373 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1699884387 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 455 S 4th St Ste 842 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402022576 |
| Phone Number | 5025847216 |
| Fax Number | 5025855373 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 710 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89007108 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Teeple by the Centers for Medicare & Medicaid Services?
The Jack Teeple has been assigned the NPI (National Provider Identifier) 1699884387 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Teeple's facilities are situated?
The facilities of Jack Teeple are physically located at the following address: 455 S 4Th St Ste 842, Louisville, KY, 402022576.
What is the Jack Teeple's area of specialization and corresponding taxonomy classification?
The Jack Teeple's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did Jack Teeple receive its 1699884387 assignment from the Centers for Medicare & Medicaid Services?
The Jack Teeple was assigned its 1699884387 on 2006-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jack Teeple most recently updated or refreshed?
The details pertaining to the Jack Teeple, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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