Jesseca Smith is a Clinical in Media, Pennsylvania. Jesseca Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jesseca Smith is 1295932887. The last update date is 2016-09-27.
Jesseca Smith's current location address is 205 N Monroe St, Media, Pennsylvania. You can contact this provider via phone number 6107619048. The mailing address for Jesseca Smith is 205 N Monroe St, Media, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesseca Smith |
|---|---|
| Address | 205 N Monroe St, Media, Pennsylvania |
| Phone Number | 6107619048 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1295932887 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2016-09-27 |
Provider Mailing Address Detail
| Address | 205 N Monroe St |
|---|---|
| City | Media |
| State | Pennsylvania (PA) |
| Post Code | 190633052 |
| Phone Number | 6107619048 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS015865 |
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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 identifier code issued to Jesseca Smith by the Centers for Medicare & Medicaid Services?
The Jesseca Smith has been assigned the NPI (National Provider Identifier) 1295932887. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jesseca Smith?
The Jesseca Smith is situated at 205 N Monroe St, in the city of Media, state of PA, with the zip code 190633052.
What is Jesseca Smith'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 Jesseca Smith is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Jesseca Smith receive the assignment of its 1295932887 from the Centers for Medicare & Medicaid Services?
The Jesseca Smith was issued its 1295932887 by the Centers for Medicare & Medicaid Services on 2007-06-28.
As of what date were the details pertaining to Jesseca Smith last refreshed?
The information related to the Jesseca Smith, including its address, specialty, and other relevant details, was last updated on 2016-09-27.
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