Julie Heim Jackson is a Clinical in Concord, Massachusetts. Julie Heim Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie Heim Jackson is 1669677050. The last update date is 2022-10-05.
Julie Heim Jackson's current location address is 747 Main St Ste 118, Concord, Massachusetts. You can contact this provider via phone number 9784969076. The mailing address for Julie Heim Jackson is 747 Main St Ste 118, Concord, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Heim Jackson |
|---|---|
| Address | 747 Main St Ste 118, Concord, Massachusetts |
| Phone Number | 9784969076 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1669677050 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2022-10-05 |
Provider Mailing Address Detail
| Address | 747 Main St Ste 118 |
|---|---|
| City | Concord |
| State | Massachusetts (MA) |
| Post Code | 17423333 |
| Phone Number | 9784969076 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 9213 |
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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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What is the unique 10-digit identification code issued to Julie Heim Jackson by the Centers for Medicare & Medicaid Services?
The Julie Heim Jackson has been assigned the NPI (National Provider Identifier) 1669677050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Julie Heim Jackson is located?
The Julie Heim Jackson is situated at the following address: 747 Main St Ste 118, Concord, MA, 17423333.
What is Julie Heim Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Julie Heim Jackson is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669677050 to Julie Heim Jackson?
The Julie Heim Jackson received its 1669677050 assignment from the Centers for Medicare & Medicaid Services on 2007-06-18.
When was the information regarding Julie Heim Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Julie Heim Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-10-05.