Joan Doris Jeruchim in Philadelphia - Clinical
Joan Doris Jeruchim - NPI 1558320622
Joan Doris Jeruchim is a Clinical in Philadelphia, Pennsylvania. Joan Doris Jeruchim practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joan Doris Jeruchim is 1558320622. The last update date is 2018-07-15.
Joan Doris Jeruchim's current location address is 2101 Market St Unit 3203, Philadelphia, Pennsylvania. You can contact this provider via phone number 6106447415 and fax number 7757194764. The mailing address for Joan Doris Jeruchim is 2101 Market St Unit 3203, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Doris Jeruchim |
|---|---|
| Address | 2101 Market St Unit 3203, Philadelphia, Pennsylvania |
| Phone Number | 6106447415 |
| Fax Number | 7757194764 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1558320622 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2018-07-15 |
Provider Mailing Address Detail
| Address | 2101 Market St Unit 3203 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191031367 |
| Phone Number | 6106447415 |
| Fax Number | 7757194764 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS-008612-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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1260848 | PA | MULTI-PLAN | |
| 4335760 | PA | AETNA, NON-HMO | |
| 230139000 | PA | IBC - KEYSTONE | |
| 186977 | PA | MANAGED HEALTH NETWORK | |
| 26111000 | PA | IBC - PERSONAL CHOICE | |
| 1760255 | PA | COMPSYCH BH CORP | |
| P3264689 | PA | OXFORD | |
| 1661854 | PA | HIGHMARK BLUE SHIELD | |
| JE339389 | PA | HIGHMARK BS - PA BS | |
| 4335760 | PA | AETNA, HMO |
Post Comment/ Review Below
What is the unique identifier code issued to Joan Doris Jeruchim by the Centers for Medicare & Medicaid Services (CMS)?
The Joan Doris Jeruchim has been assigned the NPI (National Provider Identifier) 1558320622. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Joan Doris Jeruchim is physically located?
The Joan Doris Jeruchim is situated at the following address: 2101 Market St Unit 3203, Philadelphia, PA 191031367.
What is the area of specialization for Joan Doris Jeruchim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Joan Doris Jeruchim is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did the Joan Doris Jeruchim receive its 1558320622?
The Joan Doris Jeruchim was issued its 1558320622 on 2006-03-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Joan Doris Jeruchim last refreshed?
The information related to the Joan Doris Jeruchim, including its address, specialty, and other relevant details, was last updated on 2018-07-15.