Jennifer Cooke Staat, P.A. in Wilmington - Psychologist

Jennifer Cooke Staat, P.A. - NPI 1205083532

Jennifer Cooke Staat, P.A. is a Psychologist in Wilmington, North Carolina. Jennifer Cooke Staat, P.A. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jennifer Cooke Staat, P.A. is 1205083532. The last update date is 2008-08-18.

Jennifer Cooke Staat, P.A.'s current location address is 4608 Cedar Ave, Wilmington, North Carolina. You can contact this provider via phone number 9105473093. The mailing address for Jennifer Cooke Staat, P.A. is 4608 Cedar Ave, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jennifer Cooke Staat, P.A.
Address 4608 Cedar Ave, Wilmington, North Carolina
Phone Number 9105473093
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL P
Authorized Official Name Staat Cooke Jennifer
Credentials PH.D.
Telephone Number 9105473093

NPI Number Detail

NPI Number 1205083532
Provider Enumeration Date 2008-08-18
Last Updated Date 2008-08-18

Provider Mailing Address Detail

Address 4608 Cedar Ave
City Wilmington
State North Carolina (NC)
Post Code 284034419
Phone Number 9105473093
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2505
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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FAQs about Jennifer Cooke Staat, P.A.

What is the unique identification code assigned to Jennifer Cooke Staat, P.A. by the Centers for Medicare & Medicaid Services?

The Jennifer Cooke Staat, P.A. has been issued the NPI (National Provider Identifier) 1205083532. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jennifer Cooke Staat, P.A. is physically located?

The Jennifer Cooke Staat, P.A. is situated at the following address: 4608 Cedar Ave, Wilmington, NC 284034419.

What is Jennifer Cooke Staat, P.A.'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 Jennifer Cooke Staat, P.A. is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

On what date did Jennifer Cooke Staat, P.A. receive its 1205083532 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Cooke Staat, P.A. was assigned its 1205083532 on 2008-08-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jennifer Cooke Staat, P.A. most recently updated or revised?

The information pertaining to Jennifer Cooke Staat, P.A., including its address, specialty, and other relevant details, was last updated or revised on 2008-08-18.

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