Jason Carter Fairman in Lees Summit - Psychologist
Jason Carter Fairman - NPI 1417033895
Jason Carter Fairman is a Psychologist in Lees Summit, Missouri. Jason Carter Fairman practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jason Carter Fairman is 1417033895. The last update date is 2009-05-18.
Jason Carter Fairman's current location address is 2900 Sw 13th St, Lees Summit, Missouri. You can contact this provider via phone number 8165167114 and fax number 8164377399. The mailing address for Jason Carter Fairman is 2900 Sw 13th St, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Carter Fairman |
|---|---|
| Address | 2900 Sw 13th St, Lees Summit, Missouri |
| Phone Number | 8165167114 |
| Fax Number | 8164377399 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1417033895 |
|---|---|
| Provider Enumeration Date | 2006-10-28 |
| Last Updated Date | 2009-05-18 |
Provider Mailing Address Detail
| Address | 2900 Sw 13th St |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640813800 |
| Phone Number | 8165167114 |
| Fax Number | 8164377399 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2004033756 |
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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 |
|---|---|---|---|
| 191215 | MO | BLUE CROSS BLUE SHIELD | |
| 498452606 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jason Carter Fairman by the Centers for Medicare & Medicaid Services?
The Jason Carter Fairman has been issued the NPI (National Provider Identifier) 1417033895, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jason Carter Fairman?
The Jason Carter Fairman is situated at 2900 Sw 13Th St, in the city of Lees Summit, state of MO, with the zip code 640813800.
What is the Jason Carter Fairman's area of specialization and corresponding taxonomy classification?
The Jason Carter Fairman's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When was the Jason Carter Fairman's 1417033895 issued?
The Jason Carter Fairman's 1417033895 was issued on 2006-10-28.
As of what date was the information pertaining to Jason Carter Fairman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason Carter Fairman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-05-18.