Judith S. Nissenbaum in Chicopee - Clinical
Judith S. Nissenbaum - NPI 1023025657
Judith S. Nissenbaum is a Clinical in Chicopee, Massachusetts. Judith S. Nissenbaum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith S. Nissenbaum is 1023025657. The last update date is 2012-02-23.
Judith S. Nissenbaum's current location address is 1109 Granby Rd, Chicopee, Massachusetts. You can contact this provider via phone number 4135230900 and fax number 4135230901. The mailing address for Judith S. Nissenbaum is 1109 Granby Rd, Chicopee, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith S. Nissenbaum |
|---|---|
| Address | 1109 Granby Rd, Chicopee, Massachusetts |
| Phone Number | 4135230900 |
| Fax Number | 4135230901 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1023025657 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2012-02-23 |
Provider Mailing Address Detail
| Address | 1109 Granby Rd |
|---|---|
| City | Chicopee |
| State | Massachusetts (MA) |
| Post Code | 10201568 |
| Phone Number | 4135230900 |
| Fax Number | 4135230901 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3991 |
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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 Judith S. Nissenbaum's unique identification number?
The Judith S. Nissenbaum has been assigned the NPI (National Provider Identifier) Number 1023025657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Judith S. Nissenbaum is physically located?
The Judith S. Nissenbaum is physically situated at the following address: 1109 Granby Rd, Chicopee, MA, 10201568.
What is Judith S. Nissenbaum's area of expertise and its corresponding taxonomy classification?
The Judith S. Nissenbaum'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 Centers for Medicare & Medicaid Services assign the 1023025657 to Judith S. Nissenbaum?
The Centers for Medicare & Medicaid Services assigned the 1023025657 to Judith S. Nissenbaum on 2006-08-03.
When was the information regarding Judith S. Nissenbaum most recently updated?
The details pertaining to the Judith S. Nissenbaum, including its address, specialty, and other relevant information, were last refreshed on 2012-02-23.