Richard Gregory Wirtz in Chestertown - Clinical

Richard Gregory Wirtz - NPI 1265548085

Richard Gregory Wirtz is a Clinical in Chestertown, Maryland. Richard Gregory Wirtz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Gregory Wirtz is 1265548085. The last update date is 2016-04-08.

Richard Gregory Wirtz's current location address is 952 Washington Ave, Chestertown, Maryland. You can contact this provider via phone number 4107785550 and fax number 4107780984. The mailing address for Richard Gregory Wirtz is 952 Washington Ave, Chestertown, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Gregory Wirtz
Address 952 Washington Ave, Chestertown, Maryland
Phone Number 4107785550
Fax Number 4107780984
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1265548085
Provider Enumeration Date 2006-08-22
Last Updated Date 2016-04-08

Provider Mailing Address Detail

Address 952 Washington Ave
City Chestertown
State Maryland (MD)
Post Code 216203322
Phone Number 4107785550
Fax Number 4107780984

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2027
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
T4180001 MD BLUE CROSS NAT GROUP #
61-45371 MD UBH ID#
68134 MD AMERICAN PSYCH SYSTEM #
31166 MD JOHNS HOPKINS ID#
30956 MD MAMSI/UBH ID#
1127 MD VALUE OPTIONS ID#
LT86-399909-03 MD BCBS LOCAL GROUP #

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FAQs about Richard Gregory Wirtz

What is the Richard Gregory Wirtz's unique identification number?

The Richard Gregory Wirtz has been assigned the NPI (National Provider Identifier) Number 1265548085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Richard Gregory Wirtz is geographically located?

The Richard Gregory Wirtz is physically situated at the following location: 952 Washington Ave, Chestertown, MD, 216203322.

What is Richard Gregory Wirtz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard Gregory Wirtz is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date was the 1265548085 assigned to Richard Gregory Wirtz?

The Richard Gregory Wirtz was issued its 1265548085 on 2006-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Richard Gregory Wirtz most recently updated or revised?

The details related to Richard Gregory Wirtz, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-08.

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