Judith Irene Raabe is a Clinical in Ithaca, New York. Judith Irene Raabe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Irene Raabe is 1316047269. The last update date is 2007-07-08.
Judith Irene Raabe's current location address is 207 E Court St, Ithaca, New York. You can contact this provider via phone number 6072737427 and fax number 6072737427. The mailing address for Judith Irene Raabe is 207 E Court St, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Irene Raabe |
|---|---|
| Address | 207 E Court St, Ithaca, New York |
| Phone Number | 6072737427 |
| Fax Number | 6072737427 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1316047269 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 207 E Court St |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148504203 |
| Phone Number | 6072737427 |
| Fax Number | 6072737427 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 11708 |
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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 Judith Irene Raabe's unique identification number?
The Judith Irene Raabe has been assigned the NPI (National Provider Identifier) Number 1316047269 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Judith Irene Raabe's facilities are geographically located?
The facilities of Judith Irene Raabe are physically situated at the following location: 207 E Court St, Ithaca, NY, 148504203.
What is Judith Irene Raabe's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judith Irene Raabe is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Judith Irene Raabe receive the assignment of its 1316047269 from the Centers for Medicare & Medicaid Services?
The Judith Irene Raabe was issued its 1316047269 by the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date were the details related to Judith Irene Raabe most recently updated or revised?
The information pertaining to Judith Irene Raabe, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1063415297
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