Community Drug Council in Fremont - Psychologist
Community Drug Council - NPI 1255410403
Community Drug Council is a Psychologist in Fremont, California. Community Drug Council practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Community Drug Council is 1255410403. The last update date is 2007-07-27.
Community Drug Council's current location address is 3775 Beacon Avenue, Fremont, California. You can contact this provider via phone number 5107924964 and fax number 5107924928. The mailing address for Community Drug Council is 3775 Beacon Avenue, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Drug Council |
|---|---|
| Address | 3775 Beacon Avenue, Fremont, California |
| Phone Number | 5107924964 |
| Fax Number | 5107924928 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Humphries Ann Barbara |
| Telephone Number | 5107924964 |
NPI Number Detail
| NPI Number | 1255410403 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-27 |
Provider Mailing Address Detail
| Address | 3775 Beacon Avenue |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 94538 |
| Phone Number | 5107924964 |
| Fax Number | 5107924928 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8180 | CA | MEDI-CAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Community Drug Council by the Centers for Medicare & Medicaid Services?
The Community Drug Council has been issued the NPI (National Provider Identifier) 1255410403, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Community Drug Council?
The Community Drug Council is physically situated at 3775 Beacon Avenue, in the city of Fremont, state of CA, with the postal code 94538.
What is Community Drug Council's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Community Drug Council is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255410403 to Community Drug Council?
The Centers for Medicare & Medicaid Services assigned the 1255410403 to Community Drug Council on 2006-11-06.
As of what date were the details related to Community Drug Council most recently updated or revised?
The information pertaining to Community Drug Council, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-27.
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