Serena Lurie Bloomfield in Jacksonville - Clinical Child & Adolescent
Serena Lurie Bloomfield - NPI 1548270994
Serena Lurie Bloomfield is a Clinical Child & Adolescent in Jacksonville, Florida. Serena Lurie Bloomfield practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Serena Lurie Bloomfield is 1548270994. The last update date is 2007-07-08.
Serena Lurie Bloomfield's current location address is 3725 Dupont Station Ct S, Jacksonville, Florida. You can contact this provider via phone number 9044481519 and fax number 9047331340. The mailing address for Serena Lurie Bloomfield is 3725 Dupont Station Ct S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Serena Lurie Bloomfield |
|---|---|
| Address | 3725 Dupont Station Ct S, Jacksonville, Florida |
| Phone Number | 9044481519 |
| Fax Number | 9047331340 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1548270994 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3725 Dupont Station Ct S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322172518 |
| Phone Number | 9044481519 |
| Fax Number | 9047331340 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PY0004692 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identification code issued to Serena Lurie Bloomfield by the Centers for Medicare & Medicaid Services?
The Serena Lurie Bloomfield has been assigned the NPI (National Provider Identifier) 1548270994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Serena Lurie Bloomfield's facilities are situated?
The facilities of Serena Lurie Bloomfield are physically located at the following address: 3725 Dupont Station Ct S, Jacksonville, FL, 322172518.
What is the area of specialization for Serena Lurie Bloomfield, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Serena Lurie Bloomfield is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
On what date did the Serena Lurie Bloomfield receive the assignment of its 1548270994 from the Centers for Medicare & Medicaid Services?
The Serena Lurie Bloomfield was issued its 1548270994 by the Centers for Medicare & Medicaid Services on 2006-08-08.
As of what date were the details pertaining to Serena Lurie Bloomfield last refreshed?
The information related to the Serena Lurie Bloomfield, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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