John T Beetar in Charlotte - Clinical Neuropsychologist
John T Beetar - NPI 1912920943
John T Beetar is a Clinical Neuropsychologist in Charlotte, North Carolina. John T Beetar practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for John T Beetar is 1912920943. The last update date is 2018-10-31.
John T Beetar's current location address is 5025 Airport Center Pkwy Bldg L, Charlotte, North Carolina. You can contact this provider via phone number 7045127105. The mailing address for John T Beetar is 5025 Airport Center Pkwy Bldg L, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John T Beetar |
|---|---|
| Address | 5025 Airport Center Pkwy Bldg L, Charlotte, North Carolina |
| Phone Number | 7045127105 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1912920943 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2018-10-31 |
Provider Mailing Address Detail
| Address | 5025 Airport Center Pkwy Bldg L |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282085885 |
| Phone Number | 7045127105 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 5026 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identification code issued to John T Beetar by the Centers for Medicare & Medicaid Services?
The John T Beetar has been assigned the NPI (National Provider Identifier) 1912920943 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where John T Beetar's facilities are situated?
The facilities of John T Beetar are physically located at the following address: 5025 Airport Center Pkwy Bldg L, Charlotte, NC, 282085885.
What is the John T Beetar's area of specialization and corresponding taxonomy classification?
The John T Beetar's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912920943 to John T Beetar?
The Centers for Medicare & Medicaid Services originally issued the 1912920943 to John T Beetar on 2006-07-25.
As of what date were the details related to John T Beetar most recently updated or revised?
The information pertaining to John T Beetar, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-31.