Emma B Jurrens is a Clinical in Stafford, Virginia. Emma B Jurrens practices all healthcare services and medical treatments related to Clinical. The NPI Number for Emma B Jurrens is 1588799514. The last update date is 2008-06-12.
Emma B Jurrens's current location address is 2010 Wave Dr, Stafford, Virginia. You can contact this provider via phone number 5404469805 and fax number 5406571439. The mailing address for Emma B Jurrens is 2010 Wave Dr, Stafford, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Emma B Jurrens |
|---|---|
| Address | 2010 Wave Dr, Stafford, Virginia |
| Phone Number | 5404469805 |
| Fax Number | 5406571439 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1588799514 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 2010 Wave Dr |
|---|---|
| City | Stafford |
| State | Virginia (VA) |
| Post Code | 225542511 |
| Phone Number | 5404469805 |
| Fax Number | 5406571439 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810003385 |
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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 |
|---|---|---|---|
| 11505138 | CAQH CREDENTIALING ID | ||
| 810003385 | VA | HEALTH PROFESSION LICENSE | |
| 185172 | ANTHEM BLUE CROSS BLUE SH |
Post Comment/ Review Below
What is the Emma B Jurrens's 1588799514?
The Emma B Jurrens's NPI (National Provider Identifier) Number is 1588799514. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Emma B Jurrens located?
The Emma B Jurrens is located at 2010 Wave Dr, Stafford, VA 225542511.
What is Emma B Jurrens's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Emma B Jurrens is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Emma B Jurrens receive its 1588799514 assignment from the Centers for Medicare & Medicaid Services?
The Emma B Jurrens was assigned its 1588799514 by the Centers for Medicare & Medicaid Services on 2007-02-22.
When was the information related to Emma B Jurrens most recently updated or refreshed?
The details pertaining to the Emma B Jurrens, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-12.