Jon Colladay in Antioch - Psychologist

Jon Colladay - NPI 1164531190

Jon Colladay is a Psychologist in Antioch, California. Jon Colladay practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jon Colladay is 1164531190. The last update date is 2007-07-08.

Jon Colladay's current location address is 2225 Buchanan Rd, Antioch, California. You can contact this provider via phone number 9257531986. The mailing address for Jon Colladay is 2225 Buchanan Rd, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Colladay
Address 2225 Buchanan Rd, Antioch, California
Phone Number 9257531986
Fax Number
Sole Proprietor Y
Credentials MFCC

NPI Number Detail

NPI Number 1164531190
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2225 Buchanan Rd
City Antioch
State California (CA)
Post Code 945094209
Phone Number 9257531986
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No MFCC27095
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Jon Colladay

What is the unique identifier code issued to Jon Colladay by the Centers for Medicare & Medicaid Services (CMS)?

The Jon Colladay has been assigned the NPI (National Provider Identifier) 1164531190. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Jon Colladay is geographically located?

The Jon Colladay is physically situated at the following location: 2225 Buchanan Rd, Antioch, CA, 945094209.

What is Jon Colladay's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jon Colladay is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date was the 1164531190 assigned to Jon Colladay?

The Jon Colladay was issued its 1164531190 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jon Colladay, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jon Colladay, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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