Joan T. Stark is a School in Gallup, New Mexico. Joan T. Stark practices all healthcare services and medical treatments related to School. The NPI Number for Joan T. Stark is 1851414429. The last update date is 2007-07-08.
Joan T. Stark's current location address is 222 Nizhoni Blvd Apt B5, Gallup, New Mexico. You can contact this provider via phone number 5057227967. The mailing address for Joan T. Stark is 222 Nizhoni Blvd Apt B5, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joan T. Stark |
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Address | 222 Nizhoni Blvd Apt B5, Gallup, New Mexico |
Phone Number | 5057227967 |
Fax Number | |
Sole Proprietor | N |
Credentials | MA |
NPI Number Detail
NPI Number | 1851414429 |
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Provider Enumeration Date | 2007-04-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 222 Nizhoni Blvd Apt B5 |
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City | Gallup |
State | New Mexico (NM) |
Post Code | 873017128 |
Phone Number | 5057227967 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | School |
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Taxonomy | 103Ts0200X |
Licence No | 1776574 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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56306091 | NM | -- |
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What is the unique 10-digit identifier code issued to Joan T. Stark by the Centers for Medicare & Medicaid Services?
The Joan T. Stark has been assigned the NPI (National Provider Identifier) 1851414429 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Joan T. Stark's facilities are geographically located?
The facilities of Joan T. Stark are physically situated at the following location: 222 Nizhoni Blvd Apt B5, Gallup, NM, 873017128.
What is Joan T. Stark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joan T. Stark's area of specialization is School, and the corresponding taxonomy code that categorizes this field of practice is 103Ts0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851414429 to Joan T. Stark?
The Joan T. Stark received its 1851414429 assignment from the Centers for Medicare & Medicaid Services on 2007-04-09.
When was the information regarding Joan T. Stark most recently updated?
The details pertaining to the Joan T. Stark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.