Timothy Robert Devereaux in Crescent City - Clinical
Timothy Robert Devereaux - NPI 1497922967
Timothy Robert Devereaux is a Clinical in Crescent City, California. Timothy Robert Devereaux practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Robert Devereaux is 1497922967. The last update date is 2023-07-13.
Timothy Robert Devereaux's current location address is 5905 Lake Earl Dr, Crescent City, California. You can contact this provider via phone number 7074651000. The mailing address for Timothy Robert Devereaux is 5905 Lake Earl Dr, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Robert Devereaux |
|---|---|
| Address | 5905 Lake Earl Dr, Crescent City, California |
| Phone Number | 7074651000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1497922967 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2023-07-13 |
Provider Mailing Address Detail
| Address | 5905 Lake Earl Dr |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955320001 |
| Phone Number | 7074651000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY32482 |
|
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 |
|
Post Comment/ Review Below
What is the unique identification code assigned to Timothy Robert Devereaux by the Centers for Medicare & Medicaid Services?
The Timothy Robert Devereaux has been issued the NPI (National Provider Identifier) 1497922967. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Timothy Robert Devereaux's facilities are geographically located?
The facilities of Timothy Robert Devereaux are physically situated at the following location: 5905 Lake Earl Dr, Crescent City, CA, 955320001.
What is Timothy Robert Devereaux's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy Robert Devereaux is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497922967 to Timothy Robert Devereaux?
The Centers for Medicare & Medicaid Services assigned the 1497922967 to Timothy Robert Devereaux on 2008-05-13.
When was the Timothy Robert Devereaux's information last updated?
The Timothy Robert Devereaux's information was last updated on 2023-07-13.