Johann Nicholas Prewett in Jacksonville - Clinical Child & Adolescent
Johann Nicholas Prewett - NPI 1972539690
Johann Nicholas Prewett is a Clinical Child & Adolescent in Jacksonville, Florida. Johann Nicholas Prewett practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Johann Nicholas Prewett is 1972539690. The last update date is 2017-08-23.
Johann Nicholas Prewett's current location address is 3720 Beach Blvd, Jacksonville, Florida. You can contact this provider via phone number 9044752039. The mailing address for Johann Nicholas Prewett is 3720 Beach Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johann Nicholas Prewett |
|---|---|
| Address | 3720 Beach Blvd, Jacksonville, Florida |
| Phone Number | 9044752039 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1972539690 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2017-08-23 |
Provider Mailing Address Detail
| Address | 3720 Beach Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322073814 |
| Phone Number | 9044752039 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PY 4331 |
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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 identification code assigned to Johann Nicholas Prewett by the Centers for Medicare & Medicaid Services?
The Johann Nicholas Prewett has been issued the NPI (National Provider Identifier) 1972539690. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Johann Nicholas Prewett?
The Johann Nicholas Prewett is situated at 3720 Beach Blvd, in the city of Jacksonville, state of FL, with the zip code 322073814.
What is Johann Nicholas Prewett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Johann Nicholas Prewett is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
When did Johann Nicholas Prewett receive its 1972539690 assignment?
The Johann Nicholas Prewett was assigned its 1972539690 on 2006-06-24, which is the date when this unique identifier was issued to the organization.
When was the information regarding Johann Nicholas Prewett most recently updated?
The details pertaining to the Johann Nicholas Prewett, including its address, specialty, and other relevant information, were last refreshed on 2017-08-23.