Stacey A Summers in Philadelphia - Psychologist
Stacey A Summers - NPI 1023290236
Stacey A Summers is a Psychologist in Philadelphia, Pennsylvania. Stacey A Summers practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stacey A Summers is 1023290236. The last update date is 2021-02-18.
Stacey A Summers's current location address is 1601 Walnut St Ste 1017, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155640488 and fax number 2155641245. The mailing address for Stacey A Summers is 1601 Walnut St Ste 1017, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey A Summers |
|---|---|
| Address | 1601 Walnut St Ste 1017, Philadelphia, Pennsylvania |
| Phone Number | 2155640488 |
| Fax Number | 2155641245 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023290236 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2021-02-18 |
Provider Mailing Address Detail
| Address | 1601 Walnut St Ste 1017 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191022906 |
| Phone Number | 2155640488 |
| Fax Number | 2155641245 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS015838 |
|
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 |
|---|---|---|---|
| 1017489680001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stacey A Summers by the Centers for Medicare & Medicaid Services?
The Stacey A Summers has been issued the NPI (National Provider Identifier) 1023290236, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Stacey A Summers's facilities are geographically located?
The facilities of Stacey A Summers are physically situated at the following location: 1601 Walnut St Ste 1017, Philadelphia, PA, 191022906.
What is Stacey A Summers'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 Stacey A Summers is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Stacey A Summers receive its 1023290236 assignment from the Centers for Medicare & Medicaid Services?
The Stacey A Summers was assigned its 1023290236 by the Centers for Medicare & Medicaid Services on 2007-11-29.
As of what date were the details related to Stacey A Summers most recently updated or revised?
The information pertaining to Stacey A Summers, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-18.
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