Sanford Lloyd Pederson in Greenwood - Adult Development & Aging
Sanford Lloyd Pederson - NPI 1659589885
Sanford Lloyd Pederson is a Adult Development & Aging in Greenwood, Indiana. Sanford Lloyd Pederson practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Sanford Lloyd Pederson is 1659589885. The last update date is 2020-03-19.
Sanford Lloyd Pederson's current location address is 494 S Emerson Ave, Greenwood, Indiana. You can contact this provider via phone number 3178893901 and fax number 3178893902. The mailing address for Sanford Lloyd Pederson is 494 S Emerson Ave, Greenwood, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sanford Lloyd Pederson |
|---|---|
| Address | 494 S Emerson Ave, Greenwood, Indiana |
| Phone Number | 3178893901 |
| Fax Number | 3178893902 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1659589885 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2020-03-19 |
Provider Mailing Address Detail
| Address | 494 S Emerson Ave |
|---|---|
| City | Greenwood |
| State | Indiana (IN) |
| Post Code | 461431912 |
| Phone Number | 3178893901 |
| Fax Number | 3178893902 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | 20041487 |
|
Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 225420 | MEDICATE PTAN | ||
| 225420A | MEDICARE LEGACY ID | ||
| 200227370 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sanford Lloyd Pederson?
The Sanford Lloyd Pederson has been issued the NPI (National Provider Identifier) 1659589885 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Sanford Lloyd Pederson's facilities are geographically located?
The facilities of Sanford Lloyd Pederson are physically situated at the following location: 494 S Emerson Ave, Greenwood, IN, 461431912.
What is Sanford Lloyd Pederson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sanford Lloyd Pederson is Adult Development & Aging, and the taxonomy code that categorizes this field of expertise is 103Ta0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659589885 to Sanford Lloyd Pederson?
The Centers for Medicare & Medicaid Services assigned the 1659589885 to Sanford Lloyd Pederson on 2007-05-20.
When was the information pertaining to Sanford Lloyd Pederson most recently updated or revised?
The details related to Sanford Lloyd Pederson, including its address, specialty, and other relevant information, were last updated or revised on 2020-03-19.
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