Bruke Tadesse in Hyattsville - Addiction (substance Use Disorder)
Bruke Tadesse - NPI 1306861752
Bruke Tadesse is a Addiction (substance Use Disorder) in Hyattsville, Maryland. Bruke Tadesse practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bruke Tadesse is 1306861752. The last update date is 2019-04-13.
Bruke Tadesse's current location address is 3415 Hamilton St Ste 9, Hyattsville, Maryland. You can contact this provider via phone number 3017792461 and fax number 3017796095. The mailing address for Bruke Tadesse is 3415 Hamilton St Ste 9, Hyattsville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruke Tadesse |
|---|---|
| Address | 3415 Hamilton St Ste 9, Hyattsville, Maryland |
| Phone Number | 3017792461 |
| Fax Number | 3017796095 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306861752 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2019-04-13 |
Provider Mailing Address Detail
| Address | 3415 Hamilton St Ste 9 |
|---|---|
| City | Hyattsville |
| State | Maryland (MD) |
| Post Code | 207823953 |
| Phone Number | 3017792461 |
| Fax Number | 3017796095 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | LC0295 |
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Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1316126121 | MD | -- | |
| 1093750697 | MD | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bruke Tadesse by the Centers for Medicare & Medicaid Services?
The Bruke Tadesse has been issued the NPI (National Provider Identifier) 1306861752. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bruke Tadesse located?
The Bruke Tadesse is located at 3415 Hamilton St Ste 9, Hyattsville, MD 207823953.
What is the Bruke Tadesse's specialty and taxonomy code?
The Bruke Tadesse's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 103Ta0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306861752 to Bruke Tadesse?
The Centers for Medicare & Medicaid Services assigned the 1306861752 to Bruke Tadesse on 2006-07-13.
As of what date was the information pertaining to Bruke Tadesse, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bruke Tadesse, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-04-13.