Jennifer Mode Spackman in Fayetteville - Clinical
Jennifer Mode Spackman - NPI 1811087125
Jennifer Mode Spackman is a Clinical in Fayetteville, North Carolina. Jennifer Mode Spackman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Mode Spackman is 1811087125. The last update date is 2019-06-13.
Jennifer Mode Spackman's current location address is 109 Bradford Ave, Fayetteville, North Carolina. You can contact this provider via phone number 9108299017 and fax number 9104854752. The mailing address for Jennifer Mode Spackman is 109 Bradford Ave, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Mode Spackman |
|---|---|
| Address | 109 Bradford Ave, Fayetteville, North Carolina |
| Phone Number | 9108299017 |
| Fax Number | 9104854752 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1811087125 |
|---|---|
| Provider Enumeration Date | 2006-10-15 |
| Last Updated Date | 2019-06-13 |
Provider Mailing Address Detail
| Address | 109 Bradford Ave |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283015401 |
| Phone Number | 9108299017 |
| Fax Number | 9104854752 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 5201 |
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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 identification code issued to Jennifer Mode Spackman by the Centers for Medicare & Medicaid Services?
The Jennifer Mode Spackman has been assigned the NPI (National Provider Identifier) 1811087125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jennifer Mode Spackman is located?
The Jennifer Mode Spackman is situated at the following address: 109 Bradford Ave, Fayetteville, NC, 283015401.
What is the area of specialization for Jennifer Mode Spackman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Mode Spackman is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Jennifer Mode Spackman receive its 1811087125 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Mode Spackman was assigned its 1811087125 by the Centers for Medicare & Medicaid Services on 2006-10-15.
When was the information related to Jennifer Mode Spackman most recently updated or refreshed?
The details pertaining to the Jennifer Mode Spackman, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-06-13.
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