Jackelin Jennifer Veloz-Jefferson in Wake Forest - Clinical Child & Adolescent

Jackelin Jennifer Veloz-Jefferson - NPI 1518991587

Jackelin Jennifer Veloz-Jefferson is a Clinical Child & Adolescent in Wake Forest, North Carolina. Jackelin Jennifer Veloz-Jefferson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jackelin Jennifer Veloz-Jefferson is 1518991587. The last update date is 2013-04-19.

Jackelin Jennifer Veloz-Jefferson's current location address is 122 W Vernon Ave, Wake Forest, North Carolina. You can contact this provider via phone number 9192744476 and fax number 9195549232. The mailing address for Jackelin Jennifer Veloz-Jefferson is 122 W Vernon Ave, Wake Forest, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackelin Jennifer Veloz-Jefferson
Address 122 W Vernon Ave, Wake Forest, North Carolina
Phone Number 9192744476
Fax Number 9195549232
Sole Proprietor N
Credentials EDS

NPI Number Detail

NPI Number 1518991587
Provider Enumeration Date 2006-07-10
Last Updated Date 2013-04-19

Provider Mailing Address Detail

Address 122 W Vernon Ave
City Wake Forest
State North Carolina (NC)
Post Code 275872816
Phone Number 9192744476
Fax Number 9195549232

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 2501
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6107214 NC --

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FAQs about Jackelin Jennifer Veloz-Jefferson

What is the unique 10-digit identifier code issued to Jackelin Jennifer Veloz-Jefferson by the Centers for Medicare & Medicaid Services?

The Jackelin Jennifer Veloz-Jefferson has been assigned the NPI (National Provider Identifier) 1518991587 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Jackelin Jennifer Veloz-Jefferson's physical address?

The Jackelin Jennifer Veloz-Jefferson is physically located at 122 W Vernon Ave, in the city of Wake Forest, NC, with the postal code 275872816.

What is Jackelin Jennifer Veloz-Jefferson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jackelin Jennifer Veloz-Jefferson is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.

On what date was the 1518991587 assigned to Jackelin Jennifer Veloz-Jefferson?

The Jackelin Jennifer Veloz-Jefferson was issued its 1518991587 on 2006-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jackelin Jennifer Veloz-Jefferson most recently updated or revised?

The details related to Jackelin Jennifer Veloz-Jefferson, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-19.

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