Jerome Rene Wilett in Syracuse - Clinical
Jerome Rene Wilett - NPI 1922149368
Jerome Rene Wilett is a Clinical in Syracuse, New York. Jerome Rene Wilett practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerome Rene Wilett is 1922149368. The last update date is 2007-07-08.
Jerome Rene Wilett's current location address is 500 N Mcbride St, Syracuse, New York. You can contact this provider via phone number 3154729042 and fax number 3154729065. The mailing address for Jerome Rene Wilett is 500 N Mcbride St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Rene Wilett |
|---|---|
| Address | 500 N Mcbride St, Syracuse, New York |
| Phone Number | 3154729042 |
| Fax Number | 3154729065 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1922149368 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 N Mcbride St |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132031913 |
| Phone Number | 3154729042 |
| Fax Number | 3154729065 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 005499-1 |
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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 |
|---|---|---|---|
| 554238 | NY | -- | |
| 147259 | NY | VALUE OPTIONS | |
| 4130734 | NY | MVP |
Post Comment/ Review Below
What is the unique identification code assigned to Jerome Rene Wilett by the Centers for Medicare & Medicaid Services?
The Jerome Rene Wilett has been issued the NPI (National Provider Identifier) 1922149368. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerome Rene Wilett located?
The Jerome Rene Wilett is located at 500 N Mcbride St, Syracuse, NY 132031913.
What is Jerome Rene Wilett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerome Rene Wilett's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Jerome Rene Wilett receive its 1922149368 assignment from the Centers for Medicare & Medicaid Services?
The Jerome Rene Wilett was assigned its 1922149368 on 2007-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jerome Rene Wilett, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerome Rene Wilett, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1063415297
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