Mary Alice Fruit in Fayetteville - Clinical
Mary Alice Fruit - NPI 1649200924
Mary Alice Fruit is a Clinical in Fayetteville, North Carolina. Mary Alice Fruit practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Alice Fruit is 1649200924. The last update date is 2007-07-08.
Mary Alice Fruit's current location address is 2300 Ramsey St, Fayetteville, North Carolina. You can contact this provider via phone number 9104825078 and fax number 9104825099. The mailing address for Mary Alice Fruit is 2300 Ramsey St, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Alice Fruit |
|---|---|
| Address | 2300 Ramsey St, Fayetteville, North Carolina |
| Phone Number | 9104825078 |
| Fax Number | 9104825099 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1649200924 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2300 Ramsey St |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 2830138560 |
| Phone Number | 9104825078 |
| Fax Number | 9104825099 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2082 |
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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 identifier code issued to Mary Alice Fruit by the Centers for Medicare & Medicaid Services?
The Mary Alice Fruit has been assigned the NPI (National Provider Identifier) 1649200924. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Alice Fruit is geographically located?
The Mary Alice Fruit is physically situated at the following location: 2300 Ramsey St, Fayetteville, NC, 2830138560.
What is Mary Alice Fruit's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Alice Fruit's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649200924 to Mary Alice Fruit?
The Centers for Medicare & Medicaid Services originally issued the 1649200924 to Mary Alice Fruit on 2006-07-03.
As of what date was the information regarding Mary Alice Fruit, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Alice Fruit, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1023011053
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