John Monroe Cuetara in Medford - Clinical
John Monroe Cuetara - NPI 1366593386
John Monroe Cuetara is a Clinical in Medford, Massachusetts. John Monroe Cuetara practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Monroe Cuetara is 1366593386. The last update date is 2007-07-08.
John Monroe Cuetara's current location address is 41 Pitcher Ave, Medford, Massachusetts. You can contact this provider via phone number 7814883294 and fax number 7814883254. The mailing address for John Monroe Cuetara is 41 Pitcher Ave, Medford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Monroe Cuetara |
|---|---|
| Address | 41 Pitcher Ave, Medford, Massachusetts |
| Phone Number | 7814883294 |
| Fax Number | 7814883254 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1366593386 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 41 Pitcher Ave |
|---|---|
| City | Medford |
| State | Massachusetts (MA) |
| Post Code | 21552106 |
| Phone Number | 7814883294 |
| Fax Number | 7814883254 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7201 |
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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 |
|---|---|---|---|
| 1895613 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Monroe Cuetara by the Centers for Medicare & Medicaid Services?
The John Monroe Cuetara has been assigned the NPI (National Provider Identifier) 1366593386. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Monroe Cuetara's physical address?
The John Monroe Cuetara is physically located at 41 Pitcher Ave, in the city of Medford, MA, with the postal code 21552106.
What is John Monroe Cuetara's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Monroe Cuetara is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the John Monroe Cuetara receive its 1366593386?
The John Monroe Cuetara was issued its 1366593386 on 2007-01-16, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to John Monroe Cuetara most recently updated or revised?
The information pertaining to John Monroe Cuetara, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.