Jerry W Halsten in Madison - Clinical Neuropsychologist
Jerry W Halsten - NPI 1114984176
Jerry W Halsten is a Clinical Neuropsychologist in Madison, Wisconsin. Jerry W Halsten practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jerry W Halsten is 1114984176. The last update date is 2021-03-11.
Jerry W Halsten's current location address is 1313 Fish Hatchery Rd, Madison, Wisconsin. You can contact this provider via phone number 6082528000 and fax number 6082528245. The mailing address for Jerry W Halsten is 1313 Fish Hatchery Rd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry W Halsten |
|---|---|
| Address | 1313 Fish Hatchery Rd, Madison, Wisconsin |
| Phone Number | 6082528000 |
| Fax Number | 6082528245 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1114984176 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
| Address | 1313 Fish Hatchery Rd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537151911 |
| Phone Number | 6082528000 |
| Fax Number | 6082528245 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 1820-057 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7310 | WI | DEAN HEALTH INSURANCE | |
| 39105900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry W Halsten by the Centers for Medicare & Medicaid Services?
The Jerry W Halsten has been issued the NPI (National Provider Identifier) 1114984176 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 Jerry W Halsten is geographically located?
The Jerry W Halsten is physically situated at the following location: 1313 Fish Hatchery Rd, Madison, WI, 537151911.
What is Jerry W Halsten's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry W Halsten is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114984176 to Jerry W Halsten?
The Jerry W Halsten received its 1114984176 assignment from the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the information regarding Jerry W Halsten most recently updated?
The details pertaining to the Jerry W Halsten, including its address, specialty, and other relevant information, were last refreshed on 2021-03-11.