Jacqueline A Stores in Pittsfield - Clinical
Jacqueline A Stores - NPI 1023161114
Jacqueline A Stores is a Clinical in Pittsfield, Massachusetts. Jacqueline A Stores practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline A Stores is 1023161114. The last update date is 2007-07-08.
Jacqueline A Stores's current location address is 120 South St, Pittsfield, Massachusetts. You can contact this provider via phone number 4134488302. The mailing address for Jacqueline A Stores is 120 South St, Pittsfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacqueline A Stores |
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Address | 120 South St, Pittsfield, Massachusetts |
Phone Number | 4134488302 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1023161114 |
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Provider Enumeration Date | 2007-01-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 120 South St |
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City | Pittsfield |
State | Massachusetts (MA) |
Post Code | 12016110 |
Phone Number | 4134488302 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 7340 |
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 10-digit identification code issued to Jacqueline A Stores by the Centers for Medicare & Medicaid Services?
The Jacqueline A Stores has been assigned the NPI (National Provider Identifier) 1023161114 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jacqueline A Stores is physically located?
The Jacqueline A Stores is physically situated at the following address: 120 South St, Pittsfield, MA, 12016110.
What is Jacqueline A Stores's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacqueline A Stores's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023161114 to Jacqueline A Stores?
The Centers for Medicare & Medicaid Services originally issued the 1023161114 to Jacqueline A Stores on 2007-01-19.
When was the Jacqueline A Stores's information last updated?
The Jacqueline A Stores's information was last updated on 2007-07-08.
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