Efrain Segarra in Gloucester - Adult Development & Aging

Efrain Segarra - NPI 1497759419

Efrain Segarra is a Adult Development & Aging in Gloucester, Virginia. Efrain Segarra practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Efrain Segarra is 1497759419. The last update date is 2008-10-29.

Efrain Segarra's current location address is 5557 Carys Brook Ln, Gloucester, Virginia. You can contact this provider via phone number 7573446747 and fax number 8046951815. The mailing address for Efrain Segarra is 5557 Carys Brook Ln, Gloucester, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Efrain Segarra
Address 5557 Carys Brook Ln, Gloucester, Virginia
Phone Number 7573446747
Fax Number 8046951815
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1497759419
Provider Enumeration Date 2005-06-08
Last Updated Date 2008-10-29

Provider Mailing Address Detail

Address 5557 Carys Brook Ln
City Gloucester
State Virginia (VA)
Post Code 2306120020
Phone Number 7573446747
Fax Number 8046951815

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No 810001283
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
289120 VA ANTHEM BLUE CROSS
10164206 VA --
10164851 VA --

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FAQs about Efrain Segarra

What is the unique 10-digit identifier code issued to Efrain Segarra by the Centers for Medicare & Medicaid Services?

The Efrain Segarra has been assigned the NPI (National Provider Identifier) 1497759419 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Efrain Segarra is physically located?

The Efrain Segarra is physically situated at the following address: 5557 Carys Brook Ln, Gloucester, VA, 2306120020.

What is Efrain Segarra's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Efrain Segarra is Adult Development & Aging, and the corresponding taxonomy classification code for this specialized field is 103Ta0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1497759419 to Efrain Segarra?

The Centers for Medicare & Medicaid Services assigned the 1497759419 to Efrain Segarra on 2005-06-08.

As of what date was the information pertaining to Efrain Segarra, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Efrain Segarra, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-29.

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