Jacob Palm in Long Beach - Clinical Child & Adolescent
Jacob Palm - NPI 1457476061
Jacob Palm is a Clinical Child & Adolescent in Long Beach, California. Jacob Palm practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jacob Palm is 1457476061. The last update date is 2007-07-08.
Jacob Palm's current location address is 4335 Atlantic Ave, Long Beach, California. You can contact this provider via phone number 5624852275 and fax number 5624909759. The mailing address for Jacob Palm is 4335 Atlantic Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Palm |
|---|---|
| Address | 4335 Atlantic Ave, Long Beach, California |
| Phone Number | 5624852275 |
| Fax Number | 5624909759 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1457476061 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4335 Atlantic Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908072803 |
| Phone Number | 5624852275 |
| Fax Number | 5624909759 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY 20665 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique identifier code issued to Jacob Palm by the Centers for Medicare & Medicaid Services (CMS)?
The Jacob Palm has been assigned the NPI (National Provider Identifier) 1457476061. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jacob Palm is physically located?
The Jacob Palm is situated at the following address: 4335 Atlantic Ave, Long Beach, CA 908072803.
What is Jacob Palm's area of expertise and its corresponding taxonomy classification?
The Jacob Palm's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1457476061 to Jacob Palm?
The Jacob Palm received its 1457476061 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date was the information regarding Jacob Palm, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacob Palm, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.