Jennifer Jean Bodart in Alexandria - Health Service

Jennifer Jean Bodart - NPI 1851471999

Jennifer Jean Bodart is a Health Service in Alexandria, Virginia. Jennifer Jean Bodart practices all healthcare services and medical treatments related to Health Service. The NPI Number for Jennifer Jean Bodart is 1851471999. The last update date is 2007-07-08.

Jennifer Jean Bodart's current location address is 8402 Wagon Wheel Rd, Alexandria, Virginia. You can contact this provider via phone number 7039714958 and fax number 2408578112. The mailing address for Jennifer Jean Bodart is 8402 Wagon Wheel Rd, Alexandria, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Jean Bodart
Address 8402 Wagon Wheel Rd, Alexandria, Virginia
Phone Number 7039714958
Fax Number 2408578112
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1851471999
Provider Enumeration Date 2006-10-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8402 Wagon Wheel Rd
City Alexandria
State Virginia (VA)
Post Code 223092146
Phone Number 7039714958
Fax Number 2408578112

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 2443-53
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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FAQs about Jennifer Jean Bodart

What is the unique 10-digit identifier code assigned to Jennifer Jean Bodart by the Centers for Medicare & Medicaid Services?

The Jennifer Jean Bodart has been issued the NPI (National Provider Identifier) 1851471999 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jennifer Jean Bodart is physically located?

The Jennifer Jean Bodart is physically situated at the following address: 8402 Wagon Wheel Rd, Alexandria, VA, 223092146.

What is Jennifer Jean Bodart'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 Jennifer Jean Bodart is Health Service, and the taxonomy classification code that categorizes this area of expertise is 103Th0100X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1851471999 to Jennifer Jean Bodart?

The Centers for Medicare & Medicaid Services originally issued the 1851471999 to Jennifer Jean Bodart on 2006-10-16.

When was the information regarding Jennifer Jean Bodart, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jennifer Jean Bodart, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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