Rafael Mora De Jesus in Hartford - Psychologist
Rafael Mora De Jesus - NPI 1366503906
Rafael Mora De Jesus is a Psychologist in Hartford, Connecticut. Rafael Mora De Jesus practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Rafael Mora De Jesus is 1366503906. The last update date is 2014-07-02.
Rafael Mora De Jesus's current location address is 210 Wethersfield Ave, Hartford, Connecticut. You can contact this provider via phone number 8602960094 and fax number 8602061184. The mailing address for Rafael Mora De Jesus is 210 Wethersfield Ave, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rafael Mora De Jesus |
|---|---|
| Address | 210 Wethersfield Ave, Hartford, Connecticut |
| Phone Number | 8602960094 |
| Fax Number | 8602061184 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1366503906 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2014-07-02 |
Provider Mailing Address Detail
| Address | 210 Wethersfield Ave |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 61141113 |
| Phone Number | 8602960094 |
| Fax Number | 8602061184 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1877 |
|
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 |
|---|---|---|---|
| 4132700 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Rafael Mora De Jesus by the Centers for Medicare & Medicaid Services?
The Rafael Mora De Jesus has been assigned the NPI (National Provider Identifier) 1366503906 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Rafael Mora De Jesus's physical address?
The Rafael Mora De Jesus is physically located at 210 Wethersfield Ave, in the city of Hartford, CT, with the postal code 61141113.
What is the Rafael Mora De Jesus's area of specialization and corresponding taxonomy classification?
The Rafael Mora De Jesus's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When was the Rafael Mora De Jesus's 1366503906 issued?
The Rafael Mora De Jesus's 1366503906 was issued on 2006-12-13.
As of what date was the information regarding Rafael Mora De Jesus, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rafael Mora De Jesus, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-07-02.
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