Thomas Jeffrey Hebeisen in Landenberg - Clinical

Thomas Jeffrey Hebeisen - NPI 1518010644

Thomas Jeffrey Hebeisen is a Clinical in Landenberg, Pennsylvania. Thomas Jeffrey Hebeisen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Jeffrey Hebeisen is 1518010644. The last update date is 2007-07-08.

Thomas Jeffrey Hebeisen's current location address is 208 Skycrest Dr, Landenberg, Pennsylvania. You can contact this provider via phone number 6102740641 and fax number 6102740351. The mailing address for Thomas Jeffrey Hebeisen is 208 Skycrest Dr, Landenberg, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Jeffrey Hebeisen
Address 208 Skycrest Dr, Landenberg, Pennsylvania
Phone Number 6102740641
Fax Number 6102740351
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1518010644
Provider Enumeration Date 2007-01-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 208 Skycrest Dr
City Landenberg
State Pennsylvania (PA)
Post Code 193509658
Phone Number 6102740641
Fax Number 6102740351

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PS004192L
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
351324 PA CAQH
2052606 PA CIGNA
V686S PA EMPIRE
112546 PA VALUE OPTIONS

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FAQs about Thomas Jeffrey Hebeisen

What is the unique 10-digit identifier code assigned to Thomas Jeffrey Hebeisen by the Centers for Medicare & Medicaid Services?

The Thomas Jeffrey Hebeisen has been issued the NPI (National Provider Identifier) 1518010644 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Thomas Jeffrey Hebeisen is physically located?

The Thomas Jeffrey Hebeisen is situated at the following address: 208 Skycrest Dr, Landenberg, PA 193509658.

What is the Thomas Jeffrey Hebeisen's specialty and taxonomy code?

The Thomas Jeffrey Hebeisen's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

When did the Thomas Jeffrey Hebeisen receive its 1518010644?

The Thomas Jeffrey Hebeisen was issued its 1518010644 on 2007-01-20, which is the date when the organization was assigned this unique identifier.

When was the information regarding Thomas Jeffrey Hebeisen most recently updated?

The details pertaining to the Thomas Jeffrey Hebeisen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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