Doris Jeanette is a Clinical in Philadelphia, Pennsylvania. Doris Jeanette practices all healthcare services and medical treatments related to Clinical. The NPI Number for Doris Jeanette is 1265617385. The last update date is 2008-01-08.
Doris Jeanette's current location address is 503 S 21st St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157326197. The mailing address for Doris Jeanette is 503 S 21st St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doris Jeanette |
|---|---|
| Address | 503 S 21st St, Philadelphia, Pennsylvania |
| Phone Number | 2157326197 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265617385 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
| Address | 503 S 21st St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191461325 |
| Phone Number | 2157326197 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS-002579-L |
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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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What is the unique 10-digit identification code assigned to Doris Jeanette by the Centers for Medicare & Medicaid Services?
The Doris Jeanette has been issued the NPI (National Provider Identifier) 1265617385, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Doris Jeanette located?
The Doris Jeanette is located at 503 S 21St St, Philadelphia, PA 191461325.
What is Doris Jeanette's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Doris Jeanette is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When was the Doris Jeanette's 1265617385 issued?
The Doris Jeanette's 1265617385 was issued on 2008-01-08.
As of what date were the details related to Doris Jeanette most recently updated or revised?
The information pertaining to Doris Jeanette, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN