Jenice Amy Ely is a Clinical in Lexington, Massachusetts. Jenice Amy Ely practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jenice Amy Ely is 1467409839. The last update date is 2007-07-08.
Jenice Amy Ely's current location address is 23 Fair Oaks Ter, Lexington, Massachusetts. You can contact this provider via phone number 7818639518 and fax number 7816741121. The mailing address for Jenice Amy Ely is 23 Fair Oaks Ter, Lexington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jenice Amy Ely |
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Address | 23 Fair Oaks Ter, Lexington, Massachusetts |
Phone Number | 7818639518 |
Fax Number | 7816741121 |
Sole Proprietor | X |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1467409839 |
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Provider Enumeration Date | 2006-05-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 23 Fair Oaks Ter |
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City | Lexington |
State | Massachusetts (MA) |
Post Code | 24216905 |
Phone Number | 7818639518 |
Fax Number | 7816741121 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 6930 |
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 Jenice Amy Ely by the Centers for Medicare & Medicaid Services?
The Jenice Amy Ely has been issued the NPI (National Provider Identifier) 1467409839. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jenice Amy Ely is geographically located?
The Jenice Amy Ely is physically situated at the following location: 23 Fair Oaks Ter, Lexington, MA, 24216905.
What is the Jenice Amy Ely's area of specialization and corresponding taxonomy classification?
The Jenice Amy Ely's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jenice Amy Ely receive its 1467409839 assignment from the Centers for Medicare & Medicaid Services?
The Jenice Amy Ely was assigned its 1467409839 by the Centers for Medicare & Medicaid Services on 2006-05-30.
As of what date were the details related to Jenice Amy Ely most recently updated or revised?
The information pertaining to Jenice Amy Ely, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY