Peninsula Pediatric Psychiatry in Newport News - Clinical Child & Adolescent
Peninsula Pediatric Psychiatry - NPI 1982776902
Peninsula Pediatric Psychiatry is a Clinical Child & Adolescent in Newport News, Virginia. Peninsula Pediatric Psychiatry practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Peninsula Pediatric Psychiatry is 1982776902. The last update date is 2008-06-07.
Peninsula Pediatric Psychiatry's current location address is 12350 Jefferson Ave, Newport News, Virginia. You can contact this provider via phone number 7578819444. The mailing address for Peninsula Pediatric Psychiatry is 12350 Jefferson Ave, Newport News, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peninsula Pediatric Psychiatry |
|---|---|
| Address | 12350 Jefferson Ave, Newport News, Virginia |
| Phone Number | 7578819444 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Trice B Julie |
| Credentials | MD |
| Telephone Number | 7575936792 |
NPI Number Detail
| NPI Number | 1982776902 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2008-06-07 |
Provider Mailing Address Detail
| Address | 12350 Jefferson Ave |
|---|---|
| City | Newport News |
| State | Virginia (VA) |
| Post Code | 236026951 |
| Phone Number | 7578819444 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 101230611 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peninsula Pediatric Psychiatry by the Centers for Medicare & Medicaid Services?
The Peninsula Pediatric Psychiatry has been issued the NPI (National Provider Identifier) 1982776902, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Peninsula Pediatric Psychiatry is geographically located?
The Peninsula Pediatric Psychiatry is physically situated at the following location: 12350 Jefferson Ave, Newport News, VA, 236026951.
What is Peninsula Pediatric Psychiatry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peninsula Pediatric Psychiatry is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982776902 to Peninsula Pediatric Psychiatry?
The Peninsula Pediatric Psychiatry received its 1982776902 assignment from the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date were the details pertaining to Peninsula Pediatric Psychiatry last refreshed?
The information related to the Peninsula Pediatric Psychiatry, including its address, specialty, and other relevant details, was last updated on 2008-06-07.