James Victor Cordova in Worcester - Clinical

James Victor Cordova - NPI 1427108034

James Victor Cordova is a Clinical in Worcester, Massachusetts. James Victor Cordova practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Victor Cordova is 1427108034. The last update date is 2007-07-08.

James Victor Cordova's current location address is 2 Sun Valley Dr, Worcester, Massachusetts. You can contact this provider via phone number 5087985412. The mailing address for James Victor Cordova is 2 Sun Valley Dr, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name James Victor Cordova
Address 2 Sun Valley Dr, Worcester, Massachusetts
Phone Number 5087985412
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1427108034
Provider Enumeration Date 2007-01-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2 Sun Valley Dr
City Worcester
State Massachusetts (MA)
Post Code 16091414
Phone Number 5087985412
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 8110
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
502740 MA MASS HEALTH PROVIDER #
W06321 MA BLUE CROSS BLUE SHIELD

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FAQs about James Victor Cordova

What is the unique 10-digit identifier code issued to James Victor Cordova by the Centers for Medicare & Medicaid Services?

The James Victor Cordova has been assigned the NPI (National Provider Identifier) 1427108034 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 physical location address of James Victor Cordova?

The James Victor Cordova is physically situated at 2 Sun Valley Dr, in the city of Worcester, state of MA, with the postal code 16091414.

What is James Victor Cordova's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for James Victor Cordova is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

When did the James Victor Cordova receive its 1427108034?

The James Victor Cordova was issued its 1427108034 on 2007-01-12, which is the date when the organization was assigned this unique identifier.

When was the James Victor Cordova's information last updated?

The James Victor Cordova's information was last updated on 2007-07-08.

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