Jill L Ricke in Tallahassee - Psychologist

Jill L Ricke - NPI 1508900580

Jill L Ricke is a Psychologist in Tallahassee, Florida. Jill L Ricke practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jill L Ricke is 1508900580. The last update date is 2007-07-08.

Jill L Ricke's current location address is Po Box 15755, Tallahassee, Florida. You can contact this provider via phone number 8508776011 and fax number 8508936013. The mailing address for Jill L Ricke is Po Box 15755, Tallahassee, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill L Ricke
Address Po Box 15755, Tallahassee, Florida
Phone Number 8508776011
Fax Number 8508936013
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1508900580
Provider Enumeration Date 2007-02-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 15755
City Tallahassee
State Florida (FL)
Post Code 323175755
Phone Number 8508776011
Fax Number 8508936013

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY0004423
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
73698 FL BLUE CROSS BLUE SHIELD

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FAQs about Jill L Ricke

What is the unique identification code assigned to Jill L Ricke by the Centers for Medicare & Medicaid Services?

The Jill L Ricke has been issued the NPI (National Provider Identifier) 1508900580. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jill L Ricke is geographically located?

The Jill L Ricke is physically situated at the following location: Po Box 15755, Tallahassee, FL, 323175755.

What is Jill L Ricke's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jill L Ricke is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508900580 to Jill L Ricke?

The Centers for Medicare & Medicaid Services originally issued the 1508900580 to Jill L Ricke on 2007-02-16.

As of what date was the information regarding Jill L Ricke, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jill L Ricke, 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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