Larry Dale Archer in Evansville - Clinical
Larry Dale Archer - NPI 1104833284
Larry Dale Archer is a Clinical in Evansville, Indiana. Larry Dale Archer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry Dale Archer is 1104833284. The last update date is 2018-05-17.
Larry Dale Archer's current location address is Evansville Va Health Care Center, Evansville, Indiana. You can contact this provider via phone number 8124656202. The mailing address for Larry Dale Archer is Evansville Va Health Care Center, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Dale Archer |
|---|---|
| Address | Evansville Va Health Care Center, Evansville, Indiana |
| Phone Number | 8124656202 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CLINICAL P |
NPI Number Detail
| NPI Number | 1104833284 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2018-05-17 |
Provider Mailing Address Detail
| Address | Evansville Va Health Care Center |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 47715 |
| Phone Number | 8124656202 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20040417A |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100254440B | IN | -- |
Post Comment/ Review Below
What is the Larry Dale Archer's 1104833284?
The Larry Dale Archer's NPI (National Provider Identifier) Number is 1104833284. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry Dale Archer's facilities are situated?
The facilities of Larry Dale Archer are physically located at the following address: Evansville Va Health Care Center, Evansville, IN, 47715.
What is the Larry Dale Archer's specialty and taxonomy code?
The Larry Dale Archer's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Larry Dale Archer receive its 1104833284 assignment from the Centers for Medicare & Medicaid Services?
The Larry Dale Archer was assigned its 1104833284 on 2006-08-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Larry Dale Archer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Larry Dale Archer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-05-17.
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