Edwin Reisfeld Phd Pa in Fort Mill - Clinical

Edwin Reisfeld Phd Pa - NPI 1902010804

Edwin Reisfeld Phd Pa is a Clinical in Fort Mill, South Carolina. Edwin Reisfeld Phd Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edwin Reisfeld Phd Pa is 1902010804. The last update date is 2011-08-22.

Edwin Reisfeld Phd Pa's current location address is 52511 Winchester Street, Fort Mill, South Carolina. You can contact this provider via phone number 7049275881. The mailing address for Edwin Reisfeld Phd Pa is 52511 Winchester Street, Fort Mill, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Edwin Reisfeld Phd Pa
Address 52511 Winchester Street, Fort Mill, South Carolina
Phone Number 7049275881
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PSYC
Authorized Official Name Reisfeld H Edwin
Credentials PHD
Telephone Number 7049275881

NPI Number Detail

NPI Number 1902010804
Provider Enumeration Date 2007-05-09
Last Updated Date 2011-08-22

Provider Mailing Address Detail

Address 52511 Winchester Street
City Fort Mill
State South Carolina (SC)
Post Code 29707
Phone Number 7049275881
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 3748
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
2826004 NC MEDICARE PTAN
2826004A NC MEDICARE INDIVIDUAL

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FAQs about Edwin Reisfeld Phd Pa

What is the unique identifier code issued to Edwin Reisfeld Phd Pa by the Centers for Medicare & Medicaid Services?

The Edwin Reisfeld Phd Pa has been assigned the NPI (National Provider Identifier) 1902010804. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Edwin Reisfeld Phd Pa?

The Edwin Reisfeld Phd Pa is physically situated at 52511 Winchester Street, in the city of Fort Mill, state of SC, with the postal code 29707.

What is the Edwin Reisfeld Phd Pa's specialty and taxonomy code?

The Edwin Reisfeld Phd Pa's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1902010804 to Edwin Reisfeld Phd Pa?

The Centers for Medicare & Medicaid Services originally issued the 1902010804 to Edwin Reisfeld Phd Pa on 2007-05-09.

When was the information regarding Edwin Reisfeld Phd Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Edwin Reisfeld Phd Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-08-22.

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