Jane E Derk is a Clinical in Greeley, Colorado. Jane E Derk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jane E Derk is 1518003128. The last update date is 2007-07-08.
Jane E Derk's current location address is 3400 W 16th Street, Greeley, Colorado. You can contact this provider via phone number 9703516406 and fax number 9703360937. The mailing address for Jane E Derk is 3400 W 16th Street, Greeley, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane E Derk |
|---|---|
| Address | 3400 W 16th Street, Greeley, Colorado |
| Phone Number | 9703516406 |
| Fax Number | 9703360937 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1518003128 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3400 W 16th Street |
|---|---|
| City | Greeley |
| State | Colorado (CO) |
| Post Code | 80634 |
| Phone Number | 9703516406 |
| Fax Number | 9703360937 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1108 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Jane E Derk by the Centers for Medicare & Medicaid Services?
The Jane E Derk has been assigned the NPI (National Provider Identifier) 1518003128 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jane E Derk's facilities are situated?
The facilities of Jane E Derk are physically located at the following address: 3400 W 16Th Street, Greeley, CO, 80634.
What is the Jane E Derk's specialty and taxonomy code?
The Jane E Derk's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Jane E Derk receive its 1518003128 assignment from the Centers for Medicare & Medicaid Services?
The Jane E Derk was assigned its 1518003128 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jane E Derk most recently updated or refreshed?
The details pertaining to the Jane E Derk, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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