Jack Alban is a Clinical in Nampa, Idaho. Jack Alban practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Alban is 1760440325. The last update date is 2007-07-08.
Jack Alban's current location address is 111 Palmer Dr, Nampa, Idaho. You can contact this provider via phone number 2084672741. The mailing address for Jack Alban is 111 Palmer Dr, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Alban |
|---|---|
| Address | 111 Palmer Dr, Nampa, Idaho |
| Phone Number | 2084672741 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1760440325 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 111 Palmer Dr |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836868313 |
| Phone Number | 2084672741 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY-162 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Alban by the Centers for Medicare & Medicaid Services?
The Jack Alban has been issued the NPI (National Provider Identifier) 1760440325, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jack Alban is geographically located?
The Jack Alban is physically situated at the following location: 111 Palmer Dr, Nampa, ID, 836868313.
What is Jack Alban's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack Alban is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Jack Alban receive its 1760440325 assignment from the Centers for Medicare & Medicaid Services?
The Jack Alban was assigned its 1760440325 by the Centers for Medicare & Medicaid Services on 2006-05-03.
As of what date were the details related to Jack Alban most recently updated or revised?
The information pertaining to Jack Alban, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.