Paul Edward Short is a Clinical in Columbia, Maryland. Paul Edward Short practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Edward Short is 1316988553. The last update date is 2021-01-19.
Paul Edward Short's current location address is 9881 Brokenland Parkway #105, Columbia, Maryland. You can contact this provider via phone number 4439173102 and fax number 2408920168. The mailing address for Paul Edward Short is 9881 Brokenland Parkway #105, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Edward Short |
|---|---|
| Address | 9881 Brokenland Parkway #105, Columbia, Maryland |
| Phone Number | 4439173102 |
| Fax Number | 2408920168 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1316988553 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2021-01-19 |
Provider Mailing Address Detail
| Address | 9881 Brokenland Parkway #105 |
|---|---|
| City | Columbia |
| State | Maryland (MD) |
| Post Code | 21046 |
| Phone Number | 4439173102 |
| Fax Number | 2408920168 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4007 |
|
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 Paul Edward Short by the Centers for Medicare & Medicaid Services (CMS)?
The Paul Edward Short has been assigned the NPI (National Provider Identifier) 1316988553. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Paul Edward Short located?
The Paul Edward Short is located at 9881 Brokenland Parkway #105, Columbia, MD 21046.
What is Paul Edward Short's area of expertise and its corresponding taxonomy classification?
The Paul Edward Short's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Paul Edward Short receive its 1316988553 assignment from the Centers for Medicare & Medicaid Services?
The Paul Edward Short was assigned its 1316988553 by the Centers for Medicare & Medicaid Services on 2006-06-09.
When was the information pertaining to Paul Edward Short most recently updated or revised?
The details related to Paul Edward Short, including its address, specialty, and other relevant information, were last updated or revised on 2021-01-19.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY