Gerald T O'Brien is a Clinical in Bala Cynwyd, Pennsylvania. Gerald T O'Brien practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gerald T O'Brien is 1164439808. The last update date is 2009-12-04.
Gerald T O'Brien's current location address is 112 Bala Ave, Bala Cynwyd, Pennsylvania. You can contact this provider via phone number 6106676490 and fax number 6106671744. The mailing address for Gerald T O'Brien is 112 Bala Ave, Bala Cynwyd, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald T O'Brien |
|---|---|
| Address | 112 Bala Ave, Bala Cynwyd, Pennsylvania |
| Phone Number | 6106676490 |
| Fax Number | 6106671744 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1164439808 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2009-12-04 |
Provider Mailing Address Detail
| Address | 112 Bala Ave |
|---|---|
| City | Bala Cynwyd |
| State | Pennsylvania (PA) |
| Post Code | 190043025 |
| Phone Number | 6106676490 |
| Fax Number | 6106671744 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS004240L |
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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 |
|---|---|---|---|
| OB022399 | PA | BLUESHIELD | |
| 97182000 | PA | MAGELLAN BEHAVIORAL HEALT |
Post Comment/ Review Below
What is the unique identifier code issued to Gerald T O'Brien by the Centers for Medicare & Medicaid Services?
The Gerald T O'Brien has been assigned the NPI (National Provider Identifier) 1164439808. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gerald T O'Brien is located?
The Gerald T O'Brien is situated at the following address: 112 Bala Ave, Bala Cynwyd, PA, 190043025.
What is Gerald T O'Brien'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 Gerald T O'Brien is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Gerald T O'Brien receive its 1164439808?
The Gerald T O'Brien was issued its 1164439808 on 2006-08-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Gerald T O'Brien most recently updated or revised?
The information pertaining to Gerald T O'Brien, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-04.
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