John Smith Crandell in Winchester - Clinical

John Smith Crandell - NPI 1144312489

John Smith Crandell is a Clinical in Winchester, Virginia. John Smith Crandell practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Smith Crandell is 1144312489. The last update date is 2011-10-19.

John Smith Crandell's current location address is 125 S Cameron St, Winchester, Virginia. You can contact this provider via phone number 5407220750 and fax number 5407220751. The mailing address for John Smith Crandell is 125 S Cameron St, Winchester, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name John Smith Crandell
Address 125 S Cameron St, Winchester, Virginia
Phone Number 5407220750
Fax Number 5407220751
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1144312489
Provider Enumeration Date 2006-09-28
Last Updated Date 2011-10-19

Provider Mailing Address Detail

Address 125 S Cameron St
City Winchester
State Virginia (VA)
Post Code 226014732
Phone Number 5407220750
Fax Number 5407220751

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 810001152
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
336700 VA ANTHEM BC/BS

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FAQs about John Smith Crandell

What is the unique 10-digit identification code assigned to John Smith Crandell by the Centers for Medicare & Medicaid Services?

The John Smith Crandell has been issued the NPI (National Provider Identifier) 1144312489, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the John Smith Crandell's physical address?

The John Smith Crandell is physically located at 125 S Cameron St, in the city of Winchester, VA, with the postal code 226014732.

What is John Smith Crandell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Smith Crandell is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1144312489 to John Smith Crandell?

The Centers for Medicare & Medicaid Services originally issued the 1144312489 to John Smith Crandell on 2006-09-28.

As of what date were the details pertaining to John Smith Crandell last refreshed?

The information related to the John Smith Crandell, including its address, specialty, and other relevant details, was last updated on 2011-10-19.

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