Jessica Beatrice Brito in Massapequa - Clinical Child & Adolescent
Jessica Beatrice Brito - NPI 1922211051
Jessica Beatrice Brito is a Clinical Child & Adolescent in Massapequa, New York. Jessica Beatrice Brito practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jessica Beatrice Brito is 1922211051. The last update date is 2007-07-08.
Jessica Beatrice Brito's current location address is 187 N Hawthorne St, Massapequa, New York. You can contact this provider via phone number 1718264464 and fax number 7182644933. The mailing address for Jessica Beatrice Brito is 187 N Hawthorne St, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Beatrice Brito |
|---|---|
| Address | 187 N Hawthorne St, Massapequa, New York |
| Phone Number | 1718264464 |
| Fax Number | 7182644933 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1922211051 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 187 N Hawthorne St |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117583005 |
| Phone Number | 1718264464 |
| Fax Number | 7182644933 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 11669 |
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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 issued to Jessica Beatrice Brito by the Centers for Medicare & Medicaid Services?
The Jessica Beatrice Brito has been assigned the NPI (National Provider Identifier) 1922211051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jessica Beatrice Brito located?
The Jessica Beatrice Brito is located at 187 N Hawthorne St, Massapequa, NY 117583005.
What is Jessica Beatrice Brito's area of expertise and its corresponding taxonomy classification?
The Jessica Beatrice Brito'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 Jessica Beatrice Brito receive its 1922211051 assignment from the Centers for Medicare & Medicaid Services?
The Jessica Beatrice Brito was assigned its 1922211051 by the Centers for Medicare & Medicaid Services on 2007-05-07.
When was the information regarding Jessica Beatrice Brito most recently updated?
The details pertaining to the Jessica Beatrice Brito, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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