Lara Irene Kroodsma in Manchester - Clinical
Lara Irene Kroodsma - NPI 1972642809
Lara Irene Kroodsma is a Clinical in Manchester, New Hampshire. Lara Irene Kroodsma practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lara Irene Kroodsma is 1972642809. The last update date is 2009-09-28.
Lara Irene Kroodsma's current location address is 250 Commercial St, Manchester, New Hampshire. You can contact this provider via phone number 6038483387 and fax number 6036688666. The mailing address for Lara Irene Kroodsma is 250 Commercial St, Manchester, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara Irene Kroodsma |
|---|---|
| Address | 250 Commercial St, Manchester, New Hampshire |
| Phone Number | 6038483387 |
| Fax Number | 6036688666 |
| Sole Proprietor | N |
| Credentials | MA,MS, PSY |
NPI Number Detail
| NPI Number | 1972642809 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2009-09-28 |
Provider Mailing Address Detail
| Address | 250 Commercial St |
|---|---|
| City | Manchester |
| State | New Hampshire (NH) |
| Post Code | 31011142 |
| Phone Number | 6038483387 |
| Fax Number | 6036688666 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1189 |
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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 |
|---|---|---|---|
| 7706646Y0NH01 | NH | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Lara Irene Kroodsma by the Centers for Medicare & Medicaid Services (CMS)?
The Lara Irene Kroodsma has been assigned the NPI (National Provider Identifier) 1972642809. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Lara Irene Kroodsma?
The Lara Irene Kroodsma is physically situated at 250 Commercial St, in the city of Manchester, state of NH, with the postal code 31011142.
What is Lara Irene Kroodsma's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lara Irene Kroodsma is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Lara Irene Kroodsma receive its 1972642809?
The Lara Irene Kroodsma was issued its 1972642809 on 2007-02-06, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Lara Irene Kroodsma last refreshed?
The information related to the Lara Irene Kroodsma, including its address, specialty, and other relevant details, was last updated on 2009-09-28.
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