Stephen Dale Blakeman in Wake Forest - Clinical
Stephen Dale Blakeman - NPI 1972507309
Stephen Dale Blakeman is a Clinical in Wake Forest, North Carolina. Stephen Dale Blakeman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen Dale Blakeman is 1972507309. The last update date is 2008-05-20.
Stephen Dale Blakeman's current location address is 1012 Cedar Knoll Dr, Wake Forest, North Carolina. You can contact this provider via phone number 9195544343 and fax number 8773006893. The mailing address for Stephen Dale Blakeman is 1012 Cedar Knoll Dr, Wake Forest, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Dale Blakeman |
|---|---|
| Address | 1012 Cedar Knoll Dr, Wake Forest, North Carolina |
| Phone Number | 9195544343 |
| Fax Number | 8773006893 |
| Sole Proprietor | N |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1972507309 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 1012 Cedar Knoll Dr |
|---|---|
| City | Wake Forest |
| State | North Carolina (NC) |
| Post Code | 2758762480 |
| Phone Number | 9195544343 |
| Fax Number | 8773006893 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1556 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 142A0 | NC | BCBS | |
| 6107254 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stephen Dale Blakeman by the Centers for Medicare & Medicaid Services?
The Stephen Dale Blakeman has been assigned the NPI (National Provider Identifier) 1972507309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Stephen Dale Blakeman's facilities are geographically located?
The facilities of Stephen Dale Blakeman are physically situated at the following location: 1012 Cedar Knoll Dr, Wake Forest, NC, 2758762480.
What is Stephen Dale Blakeman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephen Dale Blakeman is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972507309 to Stephen Dale Blakeman?
The Centers for Medicare & Medicaid Services originally issued the 1972507309 to Stephen Dale Blakeman on 2005-06-13.
As of what date were the Stephen Dale Blakeman's details last updated?
The information pertaining to the Stephen Dale Blakeman, including its address, specialty, and other details, was most recently updated on 2008-05-20.