Mark Stanley Konecky in Gloucester - Clinical
Mark Stanley Konecky - NPI 1952458150
Mark Stanley Konecky is a Clinical in Gloucester, Massachusetts. Mark Stanley Konecky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Stanley Konecky is 1952458150. The last update date is 2007-07-08.
Mark Stanley Konecky's current location address is 6 Hodgkins St, Gloucester, Massachusetts. You can contact this provider via phone number 9782830333 and fax number 9782830908. The mailing address for Mark Stanley Konecky is 6 Hodgkins St, Gloucester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Stanley Konecky |
|---|---|
| Address | 6 Hodgkins St, Gloucester, Massachusetts |
| Phone Number | 9782830333 |
| Fax Number | 9782830908 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1952458150 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6 Hodgkins St |
|---|---|
| City | Gloucester |
| State | Massachusetts (MA) |
| Post Code | 19301815 |
| Phone Number | 9782830333 |
| Fax Number | 9782830908 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7627 |
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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 |
|---|---|---|---|
| W05926 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Mark Stanley Konecky's unique identification number?
The Mark Stanley Konecky has been assigned the NPI (National Provider Identifier) Number 1952458150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mark Stanley Konecky?
The Mark Stanley Konecky is situated at 6 Hodgkins St, in the city of Gloucester, state of MA, with the zip code 19301815.
What is Mark Stanley Konecky's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Stanley Konecky is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Mark Stanley Konecky receive its 1952458150 assignment from the Centers for Medicare & Medicaid Services?
The Mark Stanley Konecky was assigned its 1952458150 by the Centers for Medicare & Medicaid Services on 2007-01-03.
When was the Mark Stanley Konecky's information last updated?
The Mark Stanley Konecky's information was last updated on 2007-07-08.