Wayne Lavender Phd in Brooklyn - Clinical
Wayne Lavender Phd - NPI 1497951198
Wayne Lavender Phd is a Clinical in Brooklyn, New York. Wayne Lavender Phd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wayne Lavender Phd is 1497951198. The last update date is 2020-08-22.
Wayne Lavender Phd's current location address is 62 Pierrepont St, Brooklyn, New York. You can contact this provider via phone number 7185967442. The mailing address for Wayne Lavender Phd is 62 Pierrepont St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wayne Lavender Phd |
|---|---|
| Address | 62 Pierrepont St, Brooklyn, New York |
| Phone Number | 7185967442 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lavender J Wayne |
| Credentials | PHD |
| Telephone Number | 7185967442 |
NPI Number Detail
| NPI Number | 1497951198 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 62 Pierrepont St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112012452 |
| Phone Number | 7185967442 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4755 |
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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 identifier code issued to Wayne Lavender Phd by the Centers for Medicare & Medicaid Services (CMS)?
The Wayne Lavender Phd has been assigned the NPI (National Provider Identifier) 1497951198. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Wayne Lavender Phd is physically located?
The Wayne Lavender Phd is situated at the following address: 62 Pierrepont St, Brooklyn, NY 112012452.
What is Wayne Lavender Phd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wayne Lavender Phd is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Wayne Lavender Phd receive its 1497951198 assignment from the Centers for Medicare & Medicaid Services?
The Wayne Lavender Phd was assigned its 1497951198 on 2007-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Wayne Lavender Phd's details last updated?
The information pertaining to the Wayne Lavender Phd, including its address, specialty, and other details, was most recently updated on 2020-08-22.