Jaclyn Gildea Mark in Allston - Rehabilitation
Jaclyn Gildea Mark - NPI 1881806065
Jaclyn Gildea Mark is a Rehabilitation in Allston, Massachusetts. Jaclyn Gildea Mark practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Jaclyn Gildea Mark is 1881806065. The last update date is 2007-07-08.
Jaclyn Gildea Mark's current location address is 1381 Commonwealth Ave., Allston, Massachusetts. You can contact this provider via phone number 6174885706. The mailing address for Jaclyn Gildea Mark is 1381 Commonwealth Ave., Allston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn Gildea Mark |
|---|---|
| Address | 1381 Commonwealth Ave., Allston, Massachusetts |
| Phone Number | 6174885706 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | C.R.C. |
NPI Number Detail
| NPI Number | 1881806065 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1381 Commonwealth Ave. |
|---|---|
| City | Allston |
| State | Massachusetts (MA) |
| Post Code | 2151 |
| Phone Number | 6174885706 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 103Tr0400X |
| Licence No | 98922 |
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Definition: A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu |
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What is the unique provider identifier assigned to Jaclyn Gildea Mark?
The Jaclyn Gildea Mark has been issued the NPI (National Provider Identifier) 1881806065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jaclyn Gildea Mark?
The Jaclyn Gildea Mark is situated at 1381 Commonwealth Ave., in the city of Allston, state of MA, with the zip code 2151.
What is the Jaclyn Gildea Mark's specialty and taxonomy code?
The Jaclyn Gildea Mark's specialty is Rehabilitation, and the corresponding taxonomy code is 103Tr0400X.
On what date did the Jaclyn Gildea Mark receive the assignment of its 1881806065 from the Centers for Medicare & Medicaid Services?
The Jaclyn Gildea Mark was issued its 1881806065 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date were the Jaclyn Gildea Mark's details last updated?
The information pertaining to the Jaclyn Gildea Mark, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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