Fred Larry Dorfman in Southampton - Clinical
Fred Larry Dorfman - NPI 1811924038
Fred Larry Dorfman is a Clinical in Southampton, Pennsylvania. Fred Larry Dorfman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fred Larry Dorfman is 1811924038. The last update date is 2007-07-08.
Fred Larry Dorfman's current location address is 707 Lakeside Park, Southampton, Pennsylvania. You can contact this provider via phone number 2153572380 and fax number 2153642437. The mailing address for Fred Larry Dorfman is 707 Lakeside Park, Southampton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Larry Dorfman |
|---|---|
| Address | 707 Lakeside Park, Southampton, Pennsylvania |
| Phone Number | 2153572380 |
| Fax Number | 2153642437 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1811924038 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 707 Lakeside Park |
|---|---|
| City | Southampton |
| State | Pennsylvania (PA) |
| Post Code | 189664020 |
| Phone Number | 2153572380 |
| Fax Number | 2153642437 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS-004779-L |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Fred Larry Dorfman by the Centers for Medicare & Medicaid Services?
The Fred Larry Dorfman has been issued the NPI (National Provider Identifier) 1811924038 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Fred Larry Dorfman's physical address?
The Fred Larry Dorfman is physically located at 707 Lakeside Park, in the city of Southampton, PA, with the postal code 189664020.
What is the Fred Larry Dorfman's area of specialization and corresponding taxonomy classification?
The Fred Larry Dorfman's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1811924038 to Fred Larry Dorfman?
The Fred Larry Dorfman received its 1811924038 assignment from the Centers for Medicare & Medicaid Services on 2006-06-26.
When was the Fred Larry Dorfman's information last updated?
The Fred Larry Dorfman's information was last updated on 2007-07-08.