Edward Elsworth Stevenson in Freeport - Clinical
Edward Elsworth Stevenson - NPI 1356569164
Edward Elsworth Stevenson is a Clinical in Freeport, New York. Edward Elsworth Stevenson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward Elsworth Stevenson is 1356569164. The last update date is 2007-07-08.
Edward Elsworth Stevenson's current location address is 137 Putnam Ave, Freeport, New York. You can contact this provider via phone number 5168682583 and fax number 5168686253. The mailing address for Edward Elsworth Stevenson is 137 Putnam Ave, Freeport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Elsworth Stevenson |
|---|---|
| Address | 137 Putnam Ave, Freeport, New York |
| Phone Number | 5168682583 |
| Fax Number | 5168686253 |
| Sole Proprietor | Y |
| Credentials | PH. D. |
NPI Number Detail
| NPI Number | 1356569164 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 137 Putnam Ave |
|---|---|
| City | Freeport |
| State | New York (NY) |
| Post Code | 115201151 |
| Phone Number | 5168682583 |
| Fax Number | 5168686253 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 005156-1 |
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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 provider identifier assigned to Edward Elsworth Stevenson?
The Edward Elsworth Stevenson has been issued the NPI (National Provider Identifier) 1356569164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Edward Elsworth Stevenson is geographically located?
The Edward Elsworth Stevenson is physically situated at the following location: 137 Putnam Ave, Freeport, NY, 115201151.
What is the area of specialization for Edward Elsworth Stevenson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Edward Elsworth Stevenson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Edward Elsworth Stevenson receive its 1356569164 assignment?
The Edward Elsworth Stevenson was assigned its 1356569164 on 2007-04-24, which is the date when this unique identifier was issued to the organization.
When was the Edward Elsworth Stevenson's information last updated?
The Edward Elsworth Stevenson's information was last updated on 2007-07-08.
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