Reginald Nettles is a Clinical in Columbia, Maryland. Reginald Nettles practices all healthcare services and medical treatments related to Clinical. The NPI Number for Reginald Nettles is 1639342348. The last update date is 2008-04-02.
Reginald Nettles's current location address is 6217 Ironwood Way, Columbia, Maryland. You can contact this provider via phone number 4102907999 and fax number 4435832353. The mailing address for Reginald Nettles is 6217 Ironwood Way, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reginald Nettles |
|---|---|
| Address | 6217 Ironwood Way, Columbia, Maryland |
| Phone Number | 4102907999 |
| Fax Number | 4435832353 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1639342348 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 6217 Ironwood Way |
|---|---|
| City | Columbia |
| State | Maryland (MD) |
| Post Code | 210454466 |
| Phone Number | 4102907999 |
| Fax Number | 4435832353 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2642 |
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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 unique identification code assigned to Reginald Nettles by the Centers for Medicare & Medicaid Services?
The Reginald Nettles has been issued the NPI (National Provider Identifier) 1639342348. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Reginald Nettles's physical address?
The Reginald Nettles is physically located at 6217 Ironwood Way, in the city of Columbia, MD, with the postal code 210454466.
What is the Reginald Nettles's area of specialization and corresponding taxonomy classification?
The Reginald Nettles's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1639342348 assigned to Reginald Nettles?
The Reginald Nettles was issued its 1639342348 on 2008-04-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Reginald Nettles's information last updated?
The Reginald Nettles's information was last updated on 2008-04-02.
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