Jessica Lynn Pedeville in Omaha - Clinical Child & Adolescent
Jessica Lynn Pedeville - NPI 1609030501
Jessica Lynn Pedeville is a Clinical Child & Adolescent in Omaha, Nebraska. Jessica Lynn Pedeville practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jessica Lynn Pedeville is 1609030501. The last update date is 2009-12-03.
Jessica Lynn Pedeville's current location address is 1000 N 90th St, Omaha, Nebraska. You can contact this provider via phone number 4029553900. The mailing address for Jessica Lynn Pedeville is 1000 N 90th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Lynn Pedeville |
|---|---|
| Address | 1000 N 90th St, Omaha, Nebraska |
| Phone Number | 4029553900 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1609030501 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2009-12-03 |
Provider Mailing Address Detail
| Address | 1000 N 90th St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681142764 |
| Phone Number | 4029553900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
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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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What is the unique 10-digit identification code assigned to Jessica Lynn Pedeville by the Centers for Medicare & Medicaid Services?
The Jessica Lynn Pedeville has been issued the NPI (National Provider Identifier) 1609030501, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jessica Lynn Pedeville?
The Jessica Lynn Pedeville is physically situated at 1000 N 90Th St, in the city of Omaha, state of NE, with the postal code 681142764.
What is Jessica Lynn Pedeville's area of expertise and its corresponding taxonomy classification?
The Jessica Lynn Pedeville'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 assign the 1609030501 to Jessica Lynn Pedeville?
The Centers for Medicare & Medicaid Services assigned the 1609030501 to Jessica Lynn Pedeville on 2008-07-10.
When was the information related to Jessica Lynn Pedeville most recently updated or refreshed?
The details pertaining to the Jessica Lynn Pedeville, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-03.