John E Wade is a Clinical in Kettering, Ohio. John E Wade practices all healthcare services and medical treatments related to Clinical. The NPI Number for John E Wade is 1619021276. The last update date is 2020-11-16.
John E Wade's current location address is 1956 E Whipp Rd, Kettering, Ohio. You can contact this provider via phone number 9374335957 and fax number 9372810562. The mailing address for John E Wade is 1956 E Whipp Rd, Kettering, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | John E Wade |
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Address | 1956 E Whipp Rd, Kettering, Ohio |
Phone Number | 9374335957 |
Fax Number | 9372810562 |
Sole Proprietor | N |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1619021276 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2020-11-16 |
Provider Mailing Address Detail
Address | 1956 E Whipp Rd |
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City | Kettering |
State | Ohio (OH) |
Post Code | 454402921 |
Phone Number | 9374335957 |
Fax Number | 9372810562 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 5936 |
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 |
---|---|---|---|
311175717273 | CARESOURCE | ||
2544689 | OH | -- | |
5936 | OH | OHIO LICENSE | |
617539 | OH | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John E Wade by the Centers for Medicare & Medicaid Services?
The John E Wade has been issued the NPI (National Provider Identifier) 1619021276 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where John E Wade is geographically located?
The John E Wade is physically situated at the following location: 1956 E Whipp Rd, Kettering, OH, 454402921.
What is John E Wade's specialized field of practice, and what is the corresponding taxonomy classification code?
The John E Wade's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the John E Wade receive the assignment of its 1619021276 from the Centers for Medicare & Medicaid Services?
The John E Wade was issued its 1619021276 by the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the information related to John E Wade most recently updated or refreshed?
The details pertaining to the John E Wade, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-11-16.
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