Mary Alice Fruit in Fayetteville - Adult Development & Aging

Mary Alice Fruit - NPI 1649200924

Mary Alice Fruit is a Adult Development & Aging in Fayetteville, North Carolina. Mary Alice Fruit practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Mary Alice Fruit is 1649200924. The last update date is 2007-07-08.

Mary Alice Fruit's current location address is 2300 Ramsey St, Fayetteville, North Carolina. You can contact this provider via phone number 9104825078 and fax number 9104825099. The mailing address for Mary Alice Fruit is 2300 Ramsey St, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Alice Fruit
Address 2300 Ramsey St, Fayetteville, North Carolina
Phone Number 9104825078
Fax Number 9104825099
Sole Proprietor N
Credentials PSYD

NPI Number Detail

NPI Number 1649200924
Provider Enumeration Date 2006-07-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2300 Ramsey St
City Fayetteville
State North Carolina (NC)
Post Code 2830138560
Phone Number 9104825078
Fax Number 9104825099

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No 2082
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

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FAQs about Mary Alice Fruit

What is the unique identifier code issued to Mary Alice Fruit by the Centers for Medicare & Medicaid Services?

The Mary Alice Fruit has been assigned the NPI (National Provider Identifier) 1649200924. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mary Alice Fruit is geographically located?

The Mary Alice Fruit is physically situated at the following location: 2300 Ramsey St, Fayetteville, NC, 2830138560.

What is Mary Alice Fruit's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mary Alice Fruit's area of specialization is Adult Development & Aging, and the corresponding taxonomy code that categorizes this field of practice is 103Ta0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649200924 to Mary Alice Fruit?

The Centers for Medicare & Medicaid Services originally issued the 1649200924 to Mary Alice Fruit on 2006-07-03.

As of what date was the information regarding Mary Alice Fruit, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Alice Fruit, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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