Kenyatta Etchison in Boston - Health Service
Kenyatta Etchison - NPI 1053516328
Kenyatta Etchison is a Health Service in Boston, Massachusetts. Kenyatta Etchison practices all healthcare services and medical treatments related to Health Service. The NPI Number for Kenyatta Etchison is 1053516328. The last update date is 2007-07-08.
Kenyatta Etchison's current location address is 85 E Newton St, Boston, Massachusetts. You can contact this provider via phone number 6174144646. The mailing address for Kenyatta Etchison is 85 E Newton St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenyatta Etchison |
|---|---|
| Address | 85 E Newton St, Boston, Massachusetts |
| Phone Number | 6174144646 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053516328 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 85 E Newton St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21182340 |
| Phone Number | 6174144646 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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What is the unique 10-digit identification code issued to Kenyatta Etchison by the Centers for Medicare & Medicaid Services?
The Kenyatta Etchison has been assigned the NPI (National Provider Identifier) 1053516328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kenyatta Etchison located?
The Kenyatta Etchison is located at 85 E Newton St, Boston, MA 21182340.
What is Kenyatta Etchison's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenyatta Etchison is Health Service, and the taxonomy code that classifies this field of practice is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053516328 to Kenyatta Etchison?
The Centers for Medicare & Medicaid Services assigned the 1053516328 to Kenyatta Etchison on 2007-06-18.
As of what date were the details pertaining to Kenyatta Etchison last refreshed?
The information related to the Kenyatta Etchison, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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