Joseph P. Primavera in Philadelphia - Clinical
Joseph P. Primavera - NPI 1669504213
Joseph P. Primavera is a Clinical in Philadelphia, Pennsylvania. Joseph P. Primavera practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joseph P. Primavera is 1669504213. The last update date is 2007-07-09.
Joseph P. Primavera's current location address is 1015 Chestnut St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156259770 and fax number 2156259866. The mailing address for Joseph P. Primavera is 1015 Chestnut St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joseph P. Primavera |
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Address | 1015 Chestnut St, Philadelphia, Pennsylvania |
Phone Number | 2156259770 |
Fax Number | 2156259866 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1669504213 |
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Provider Enumeration Date | 2007-03-09 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1015 Chestnut St |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191074316 |
Phone Number | 2156259770 |
Fax Number | 2156259866 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PS 0047-16L |
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 |
---|---|---|---|
63157000 | PA | MAGELLAN HEALTH SERVICES | |
4404301 | PA | AETNA | |
250823000 | PA | MAGELLAN PROVIDER MIS |
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What is the unique 10-digit identifier code issued to Joseph P. Primavera by the Centers for Medicare & Medicaid Services?
The Joseph P. Primavera has been assigned the NPI (National Provider Identifier) 1669504213 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Joseph P. Primavera?
The Joseph P. Primavera is situated at 1015 Chestnut St, in the city of Philadelphia, state of PA, with the zip code 191074316.
What is the Joseph P. Primavera's specialty and taxonomy code?
The Joseph P. Primavera's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Joseph P. Primavera receive its 1669504213 assignment from the Centers for Medicare & Medicaid Services?
The Joseph P. Primavera was assigned its 1669504213 by the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the information regarding Joseph P. Primavera most recently updated?
The details pertaining to the Joseph P. Primavera, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.