Craig Gibbons Clemow in Pittsfield - Clinical

Craig Gibbons Clemow - NPI 1740348002

Craig Gibbons Clemow is a Clinical in Pittsfield, Massachusetts. Craig Gibbons Clemow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig Gibbons Clemow is 1740348002. The last update date is 2007-07-08.

Craig Gibbons Clemow's current location address is 34 Depot St, Pittsfield, Massachusetts. You can contact this provider via phone number 4134994090 and fax number 4134991844. The mailing address for Craig Gibbons Clemow is 34 Depot St, Pittsfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig Gibbons Clemow
Address 34 Depot St, Pittsfield, Massachusetts
Phone Number 4134994090
Fax Number 4134991844
Sole Proprietor N
Credentials PSYCHOLOGI

NPI Number Detail

NPI Number 1740348002
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 34 Depot St
City Pittsfield
State Massachusetts (MA)
Post Code 12015130
Phone Number 4134994090
Fax Number 4134991844

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 4448
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
667870 MA TUFTS

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FAQs about Craig Gibbons Clemow

What is the unique 10-digit identification code issued to Craig Gibbons Clemow by the Centers for Medicare & Medicaid Services?

The Craig Gibbons Clemow has been assigned the NPI (National Provider Identifier) 1740348002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Craig Gibbons Clemow located?

The Craig Gibbons Clemow is located at 34 Depot St, Pittsfield, MA 12015130.

What is Craig Gibbons Clemow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Craig Gibbons Clemow is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Craig Gibbons Clemow receive its 1740348002 assignment from the Centers for Medicare & Medicaid Services?

The Craig Gibbons Clemow was assigned its 1740348002 by the Centers for Medicare & Medicaid Services on 2006-12-05.

As of what date was the information regarding Craig Gibbons Clemow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Craig Gibbons Clemow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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