Jack Houk is a Clinical in Syracuse, New York. Jack Houk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Houk is 1700960663. The last update date is 2008-07-29.
Jack Houk's current location address is 600 E Genesee St, Syracuse, New York. You can contact this provider via phone number 3154220300 and fax number 3154798455. The mailing address for Jack Houk is 600 E Genesee St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Houk |
|---|---|
| Address | 600 E Genesee St, Syracuse, New York |
| Phone Number | 3154220300 |
| Fax Number | 3154798455 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1700960663 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 600 E Genesee St |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132023130 |
| Phone Number | 3154220300 |
| Fax Number | 3154798455 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 013423-1 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2571295 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Houk?
The Jack Houk has been issued the NPI (National Provider Identifier) 1700960663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jack Houk?
The Jack Houk is situated at 600 E Genesee St, in the city of Syracuse, state of NY, with the zip code 132023130.
What is Jack Houk's area of expertise and its corresponding taxonomy classification?
The Jack Houk's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jack Houk receive the assignment of its 1700960663 from the Centers for Medicare & Medicaid Services?
The Jack Houk was issued its 1700960663 by the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the information pertaining to Jack Houk most recently updated or revised?
The details related to Jack Houk, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-29.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA