Edward Porter Eagan in Ipswich - Clinical
Edward Porter Eagan - NPI 1487793154
Edward Porter Eagan is a Clinical in Ipswich, Massachusetts. Edward Porter Eagan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward Porter Eagan is 1487793154. The last update date is 2007-07-08.
Edward Porter Eagan's current location address is 38 Argilla Rd, Ipswich, Massachusetts. You can contact this provider via phone number 9788846960. The mailing address for Edward Porter Eagan is 38 Argilla Rd, Ipswich, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Porter Eagan |
|---|---|
| Address | 38 Argilla Rd, Ipswich, Massachusetts |
| Phone Number | 9788846960 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1487793154 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 38 Argilla Rd |
|---|---|
| City | Ipswich |
| State | Massachusetts (MA) |
| Post Code | 19382602 |
| Phone Number | 9788846960 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7937 |
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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 identifier code issued to Edward Porter Eagan by the Centers for Medicare & Medicaid Services?
The Edward Porter Eagan has been assigned the NPI (National Provider Identifier) 1487793154. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Edward Porter Eagan is physically located?
The Edward Porter Eagan is situated at the following address: 38 Argilla Rd, Ipswich, MA 19382602.
What is Edward Porter Eagan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edward Porter Eagan is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Edward Porter Eagan receive its 1487793154 assignment from the Centers for Medicare & Medicaid Services?
The Edward Porter Eagan was assigned its 1487793154 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Edward Porter Eagan most recently updated or revised?
The details related to Edward Porter Eagan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.