Michael Rundlett is a Clinical in Weymouth, Massachusetts. Michael Rundlett practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Rundlett is 1306936505. The last update date is 2010-03-08.
Michael Rundlett's current location address is 169 Libbey Industrial Pkwy, Weymouth, Massachusetts. You can contact this provider via phone number 7816821060 and fax number 7816821061. The mailing address for Michael Rundlett is 169 Libbey Industrial Pkwy, Weymouth, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Rundlett |
|---|---|
| Address | 169 Libbey Industrial Pkwy, Weymouth, Massachusetts |
| Phone Number | 7816821060 |
| Fax Number | 7816821061 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1306936505 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2010-03-08 |
Provider Mailing Address Detail
| Address | 169 Libbey Industrial Pkwy |
|---|---|
| City | Weymouth |
| State | Massachusetts (MA) |
| Post Code | 21893101 |
| Phone Number | 7816821060 |
| Fax Number | 7816821061 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4877 |
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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 |
|---|---|---|---|
| 110251000 | MA | MAGELLAN PROVIDER NUMBER | |
| W04645 | MA | BCBS PROVIDER NUMBER | |
| 20923 | MA | VALUE OPTIONS PROVIDER NU | |
| 6192642 | MA | EVERCARE PROVIDER NUMBER |
Post Comment/ Review Below
What is the Michael Rundlett's 1306936505?
The Michael Rundlett's NPI (National Provider Identifier) Number is 1306936505. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Rundlett?
The Michael Rundlett is situated at 169 Libbey Industrial Pkwy, in the city of Weymouth, state of MA, with the zip code 21893101.
What is Michael Rundlett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Rundlett's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306936505 to Michael Rundlett?
The Michael Rundlett received its 1306936505 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
When was the Michael Rundlett's information last updated?
The Michael Rundlett's information was last updated on 2010-03-08.
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