David J. Wakely is a Clinical in Janesville, Wisconsin. David J. Wakely practices all healthcare services and medical treatments related to Clinical. The NPI Number for David J. Wakely is 1134228802. The last update date is 2018-06-14.
David J. Wakely's current location address is 557 N Washington St, Janesville, Wisconsin. You can contact this provider via phone number 6087546000 and fax number 6087557892. The mailing address for David J. Wakely is 557 N Washington St, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David J. Wakely |
|---|---|
| Address | 557 N Washington St, Janesville, Wisconsin |
| Phone Number | 6087546000 |
| Fax Number | 6087557892 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134228802 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2018-06-14 |
Provider Mailing Address Detail
| Address | 557 N Washington St |
|---|---|
| City | Janesville |
| State | Wisconsin (WI) |
| Post Code | 535482907 |
| Phone Number | 6087546000 |
| Fax Number | 6087557892 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-002790 |
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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 |
|---|---|---|---|
| 1134228802 | WI | -- | |
| P00684638CD3624 | WI | RR MEDICARE | |
| 541760589 | WI | WI MEDICARE | |
| WAKELDAV | WI | MERCYCARE INSURANCE |
Post Comment/ Review Below
What is the David J. Wakely's unique identification number?
The David J. Wakely has been assigned the NPI (National Provider Identifier) Number 1134228802 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the David J. Wakely's physical address?
The David J. Wakely is physically located at 557 N Washington St, in the city of Janesville, WI, with the postal code 535482907.
What is the David J. Wakely's area of specialization and corresponding taxonomy classification?
The David J. Wakely'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 David J. Wakely receive its 1134228802 assignment from the Centers for Medicare & Medicaid Services?
The David J. Wakely was assigned its 1134228802 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the information pertaining to David J. Wakely most recently updated or revised?
The details related to David J. Wakely, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-14.