John William Pehle in Modesto - Psychologist
John William Pehle - NPI 1487680641
John William Pehle is a Psychologist in Modesto, California. John William Pehle practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John William Pehle is 1487680641. The last update date is 2007-07-09.
John William Pehle's current location address is 1024 J St Ste 412, Modesto, California. You can contact this provider via phone number 2095771159 and fax number 2098238189. The mailing address for John William Pehle is 1024 J St Ste 412, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John William Pehle |
|---|---|
| Address | 1024 J St Ste 412, Modesto, California |
| Phone Number | 2095771159 |
| Fax Number | 2098238189 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1487680641 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1024 J St Ste 412 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953540844 |
| Phone Number | 2095771159 |
| Fax Number | 2098238189 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY5304 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY053040 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John William Pehle by the Centers for Medicare & Medicaid Services?
The John William Pehle has been issued the NPI (National Provider Identifier) 1487680641 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John William Pehle located?
The John William Pehle is located at 1024 J St Ste 412, Modesto, CA 953540844.
What is John William Pehle's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John William Pehle is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did John William Pehle receive its 1487680641 assignment from the Centers for Medicare & Medicaid Services?
The John William Pehle was assigned its 1487680641 on 2006-06-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding John William Pehle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John William Pehle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.