Jessica Lord Bean in Glastonbury - Clinical Child & Adolescent
Jessica Lord Bean - NPI 1255451134
Jessica Lord Bean is a Clinical Child & Adolescent in Glastonbury, Connecticut. Jessica Lord Bean practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jessica Lord Bean is 1255451134. The last update date is 2022-09-23.
Jessica Lord Bean's current location address is 366 Ash Swamp Rd, Glastonbury, Connecticut. You can contact this provider via phone number 8607293963 and fax number 8606338176. The mailing address for Jessica Lord Bean is 366 Ash Swamp Rd, Glastonbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Lord Bean |
|---|---|
| Address | 366 Ash Swamp Rd, Glastonbury, Connecticut |
| Phone Number | 8607293963 |
| Fax Number | 8606338176 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1255451134 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2022-09-23 |
Provider Mailing Address Detail
| Address | 366 Ash Swamp Rd |
|---|---|
| City | Glastonbury |
| State | Connecticut (CT) |
| Post Code | 60333504 |
| Phone Number | 8607293963 |
| Fax Number | 8606338176 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2864 |
|
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 provider identifier assigned to Jessica Lord Bean?
The Jessica Lord Bean has been issued the NPI (National Provider Identifier) 1255451134 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jessica Lord Bean is located?
The Jessica Lord Bean is situated at the following address: 366 Ash Swamp Rd, Glastonbury, CT, 60333504.
What is Jessica Lord Bean's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jessica Lord Bean is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date was the 1255451134 assigned to Jessica Lord Bean?
The Jessica Lord Bean was issued its 1255451134 on 2007-04-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jessica Lord Bean, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica Lord Bean, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-09-23.
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