Raymond J Havlicek in Lake Placid - Clinical
Raymond J Havlicek - NPI 1215152095
Raymond J Havlicek is a Clinical in Lake Placid, New York. Raymond J Havlicek practices all healthcare services and medical treatments related to Clinical. The NPI Number for Raymond J Havlicek is 1215152095. The last update date is 2009-04-20.
Raymond J Havlicek's current location address is 30 Cayuga Way, Lake Placid, New York. You can contact this provider via phone number 5184419426 and fax number 5167769275. The mailing address for Raymond J Havlicek is 30 Cayuga Way, Lake Placid, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Raymond J Havlicek |
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Address | 30 Cayuga Way, Lake Placid, New York |
Phone Number | 5184419426 |
Fax Number | 5167769275 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1215152095 |
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Provider Enumeration Date | 2007-04-16 |
Last Updated Date | 2009-04-20 |
Provider Mailing Address Detail
Address | 30 Cayuga Way |
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City | Lake Placid |
State | New York (NY) |
Post Code | 129463915 |
Phone Number | 5184419426 |
Fax Number | 5167769275 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 4718 |
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 Raymond J Havlicek's 1215152095?
The Raymond J Havlicek's NPI (National Provider Identifier) Number is 1215152095. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Raymond J Havlicek's facilities are geographically located?
The facilities of Raymond J Havlicek are physically situated at the following location: 30 Cayuga Way, Lake Placid, NY, 129463915.
What is Raymond J Havlicek's specialized field of practice, and what is the corresponding taxonomy classification code?
The Raymond J Havlicek'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 1215152095 to Raymond J Havlicek?
The Raymond J Havlicek received its 1215152095 assignment from the Centers for Medicare & Medicaid Services on 2007-04-16.
As of what date were the details related to Raymond J Havlicek most recently updated or revised?
The information pertaining to Raymond J Havlicek, including its address, specialty, and other relevant details, was last updated or revised on 2009-04-20.