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
Address 120 South St, Pittsfield, Massachusetts
Phone Number 4134488302
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1023161114
Provider Enumeration Date 2007-01-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 120 South St
City Pittsfield
State Massachusetts (MA)
Post Code 12016110
Phone Number 4134488302
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Jacqueline A Stores

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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