Theron C Male is a Clinical in West Chester, Pennsylvania. Theron C Male practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theron C Male is 1306817291. The last update date is 2007-07-09.
Theron C Male's current location address is 1515 W Chester Pike, West Chester, Pennsylvania. You can contact this provider via phone number 6106922092 and fax number 6106922863. The mailing address for Theron C Male is 1515 W Chester Pike, West Chester, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theron C Male |
|---|---|
| Address | 1515 W Chester Pike, West Chester, Pennsylvania |
| Phone Number | 6106922092 |
| Fax Number | 6106922863 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1306817291 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1515 W Chester Pike |
|---|---|
| City | West Chester |
| State | Pennsylvania (PA) |
| Post Code | 193827783 |
| Phone Number | 6106922092 |
| Fax Number | 6106922863 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS000850L |
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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 |
|---|---|---|---|
| PS000850L | PA | -- |
Post Comment/ Review Below
What is the Theron C Male's 1306817291?
The Theron C Male's NPI (National Provider Identifier) Number is 1306817291. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Theron C Male's facilities are situated?
The facilities of Theron C Male are physically located at the following address: 1515 W Chester Pike, West Chester, PA, 193827783.
What is Theron C Male's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theron C Male is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Theron C Male receive the assignment of its 1306817291 from the Centers for Medicare & Medicaid Services?
The Theron C Male was issued its 1306817291 by the Centers for Medicare & Medicaid Services on 2006-01-30.
When was the information regarding Theron C Male most recently updated?
The details pertaining to the Theron C Male, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.