Gerald Lee West is a Clinical in Canal Fulton, Ohio. Gerald Lee West practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gerald Lee West is 1457330805. The last update date is 2007-07-09.
Gerald Lee West's current location address is 1724 Bruce St, Canal Fulton, Ohio. You can contact this provider via phone number 3308333420 and fax number 3308338428. The mailing address for Gerald Lee West is 1724 Bruce St, Canal Fulton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Lee West |
|---|---|
| Address | 1724 Bruce St, Canal Fulton, Ohio |
| Phone Number | 3308333420 |
| Fax Number | 3308338428 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457330805 |
|---|---|
| Provider Enumeration Date | 2006-01-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1724 Bruce St |
|---|---|
| City | Canal Fulton |
| State | Ohio (OH) |
| Post Code | 446149313 |
| Phone Number | 3308333420 |
| Fax Number | 3308338428 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4566 |
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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 |
|---|---|---|---|
| 2052308 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gerald Lee West by the Centers for Medicare & Medicaid Services?
The Gerald Lee West has been assigned the NPI (National Provider Identifier) 1457330805. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gerald Lee West's facilities are geographically located?
The facilities of Gerald Lee West are physically situated at the following location: 1724 Bruce St, Canal Fulton, OH, 446149313.
What is Gerald Lee West's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gerald Lee West's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Gerald Lee West receive its 1457330805 assignment from the Centers for Medicare & Medicaid Services?
The Gerald Lee West was assigned its 1457330805 by the Centers for Medicare & Medicaid Services on 2006-01-13.
When was the information regarding Gerald Lee West most recently updated?
The details pertaining to the Gerald Lee West, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.