Stacey Ann Ketchman in Fort Bragg - Clinical
Stacey Ann Ketchman - NPI 1477526903
Stacey Ann Ketchman is a Clinical in Fort Bragg, North Carolina. Stacey Ann Ketchman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Ann Ketchman is 1477526903. The last update date is 2007-07-08.
Stacey Ann Ketchman's current location address is Womack Army Medical Center, Fort Bragg, North Carolina. You can contact this provider via phone number 9109078198. The mailing address for Stacey Ann Ketchman is Womack Army Medical Center, Fort Bragg, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Ann Ketchman |
|---|---|
| Address | Womack Army Medical Center, Fort Bragg, North Carolina |
| Phone Number | 9109078198 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1477526903 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Womack Army Medical Center |
|---|---|
| City | Fort Bragg |
| State | North Carolina (NC) |
| Post Code | 283100001 |
| Phone Number | 9109078198 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1367 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Stacey Ann Ketchman by the Centers for Medicare & Medicaid Services?
The Stacey Ann Ketchman has been assigned the NPI (National Provider Identifier) 1477526903. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stacey Ann Ketchman's facilities are situated?
The facilities of Stacey Ann Ketchman are physically located at the following address: Womack Army Medical Center, Fort Bragg, NC, 283100001.
What is the area of specialization for Stacey Ann Ketchman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacey Ann Ketchman is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Stacey Ann Ketchman receive its 1477526903 assignment?
The Stacey Ann Ketchman was assigned its 1477526903 on 2006-02-07, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Stacey Ann Ketchman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacey Ann Ketchman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.