Thomas Lee Dimitry is a School in Ridgewood, New Jersey. Thomas Lee Dimitry practices all healthcare services and medical treatments related to School. The NPI Number for Thomas Lee Dimitry is 1407060833. The last update date is 2007-07-08.
Thomas Lee Dimitry's current location address is 61 N Maple Ave, Ridgewood, New Jersey. You can contact this provider via phone number 2014456677. The mailing address for Thomas Lee Dimitry is 61 N Maple Ave, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Lee Dimitry |
|---|---|
| Address | 61 N Maple Ave, Ridgewood, New Jersey |
| Phone Number | 2014456677 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1407060833 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 61 N Maple Ave |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 74503255 |
| Phone Number | 2014456677 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 3800 |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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What is the unique 10-digit identifier code assigned to Thomas Lee Dimitry by the Centers for Medicare & Medicaid Services?
The Thomas Lee Dimitry has been issued the NPI (National Provider Identifier) 1407060833 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Thomas Lee Dimitry is geographically located?
The Thomas Lee Dimitry is physically situated at the following location: 61 N Maple Ave, Ridgewood, NJ, 74503255.
What is the Thomas Lee Dimitry's specialty and taxonomy code?
The Thomas Lee Dimitry's specialty is School, and the corresponding taxonomy code is 103Ts0200X.
When did Thomas Lee Dimitry receive its 1407060833 assignment?
The Thomas Lee Dimitry was assigned its 1407060833 on 2007-05-08, which is the date when this unique identifier was issued to the organization.
When was the information related to Thomas Lee Dimitry most recently updated or refreshed?
The details pertaining to the Thomas Lee Dimitry, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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