Deborah Jean Stack in Hartford - Psychologist
Deborah Jean Stack - NPI 1023195864
Deborah Jean Stack is a Psychologist in Hartford, Connecticut. Deborah Jean Stack practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Deborah Jean Stack is 1023195864. The last update date is 2007-07-08.
Deborah Jean Stack's current location address is 682 Prospect Avenue, Hartford, Connecticut. You can contact this provider via phone number 8602586065 and fax number 8602325077. The mailing address for Deborah Jean Stack is 682 Prospect Avenue, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Jean Stack |
|---|---|
| Address | 682 Prospect Avenue, Hartford, Connecticut |
| Phone Number | 8602586065 |
| Fax Number | 8602325077 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1023195864 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 682 Prospect Avenue |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 6105 |
| Phone Number | 8602586065 |
| Fax Number | 8602325077 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1238 |
|
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 |
|---|---|---|---|
| 060001238CT01 | CT | BCBS | |
| HAS394 | CT | OXFORD |
Post Comment/ Review Below
What is the unique identifier code issued to Deborah Jean Stack by the Centers for Medicare & Medicaid Services (CMS)?
The Deborah Jean Stack has been assigned the NPI (National Provider Identifier) 1023195864. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Deborah Jean Stack's facilities are geographically located?
The facilities of Deborah Jean Stack are physically situated at the following location: 682 Prospect Avenue, Hartford, CT, 6105.
What is Deborah Jean Stack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Deborah Jean Stack is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023195864 to Deborah Jean Stack?
The Centers for Medicare & Medicaid Services originally issued the 1023195864 to Deborah Jean Stack on 2006-11-01.
As of what date was the information regarding Deborah Jean Stack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Deborah Jean Stack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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