Jacqueline J Head Psyd Pc in Sherwood - Clinical
Jacqueline J Head Psyd Pc - NPI 1528086055
Jacqueline J Head Psyd Pc is a Clinical in Sherwood, Oregon. Jacqueline J Head Psyd Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline J Head Psyd Pc is 1528086055. The last update date is 2020-08-22.
Jacqueline J Head Psyd Pc's current location address is 22344 Sw Main St, Sherwood, Oregon. You can contact this provider via phone number 5036252768 and fax number 5036253768. The mailing address for Jacqueline J Head Psyd Pc is 22344 Sw Main St, Sherwood, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacqueline J Head Psyd Pc |
|---|---|
| Address | 22344 Sw Main St, Sherwood, Oregon |
| Phone Number | 5036252768 |
| Fax Number | 5036253768 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Head Jean Jacqueline |
| Credentials | PSYD |
| Telephone Number | 5036252768 |
NPI Number Detail
| NPI Number | 1528086055 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22344 Sw Main St |
|---|---|
| City | Sherwood |
| State | Oregon (OR) |
| Post Code | 971409416 |
| Phone Number | 5036252768 |
| Fax Number | 5036253768 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1328 |
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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 |
|---|---|---|---|
| 1639153125 | OR | NPI, FOR IND. PROVIDER |
Post Comment/ Review Below
What is the Jacqueline J Head Psyd Pc's 1528086055?
The Jacqueline J Head Psyd Pc's NPI (National Provider Identifier) Number is 1528086055. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jacqueline J Head Psyd Pc's physical address?
The Jacqueline J Head Psyd Pc is physically located at 22344 Sw Main St, in the city of Sherwood, OR, with the postal code 971409416.
What is the Jacqueline J Head Psyd Pc's area of specialization and corresponding taxonomy classification?
The Jacqueline J Head Psyd Pc's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1528086055 to Jacqueline J Head Psyd Pc?
The Centers for Medicare & Medicaid Services assigned the 1528086055 to Jacqueline J Head Psyd Pc on 2006-07-17.
When was the information regarding Jacqueline J Head Psyd Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacqueline J Head Psyd Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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