Jurgen H Kedesdy is a Clinical in Worcester, Massachusetts. Jurgen H Kedesdy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jurgen H Kedesdy is 1760460190. The last update date is 2007-07-08.
Jurgen H Kedesdy's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5088563951. The mailing address for Jurgen H Kedesdy is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jurgen H Kedesdy |
|---|---|
| Address | 55 Lake Ave N, Worcester, Massachusetts |
| Phone Number | 5088563951 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1760460190 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5088563951 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3638 |
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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 |
|---|---|---|---|
| 526703 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jurgen H Kedesdy?
The Jurgen H Kedesdy has been issued the NPI (National Provider Identifier) 1760460190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jurgen H Kedesdy is physically located?
The Jurgen H Kedesdy is physically situated at the following address: 55 Lake Ave N, Worcester, MA, 16550002.
What is the area of specialization for Jurgen H Kedesdy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jurgen H Kedesdy is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760460190 to Jurgen H Kedesdy?
The Jurgen H Kedesdy received its 1760460190 assignment from the Centers for Medicare & Medicaid Services on 2006-01-05.
When was the information pertaining to Jurgen H Kedesdy most recently updated or revised?
The details related to Jurgen H Kedesdy, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.