Theodore Albert Lombardo in Jacksonville - Clinical Child & Adolescent
Theodore Albert Lombardo - NPI 1629192570
Theodore Albert Lombardo is a Clinical Child & Adolescent in Jacksonville, Florida. Theodore Albert Lombardo practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Theodore Albert Lombardo is 1629192570. The last update date is 2007-07-08.
Theodore Albert Lombardo's current location address is 3750 San Jose Pl, Jacksonville, Florida. You can contact this provider via phone number 9048869006 and fax number 9048864060. The mailing address for Theodore Albert Lombardo is 3750 San Jose Pl, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Albert Lombardo |
|---|---|
| Address | 3750 San Jose Pl, Jacksonville, Florida |
| Phone Number | 9048869006 |
| Fax Number | 9048864060 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1629192570 |
|---|---|
| Provider Enumeration Date | 2007-03-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3750 San Jose Pl |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322578858 |
| Phone Number | 9048869006 |
| Fax Number | 9048864060 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PY5167 |
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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 assigned to Theodore Albert Lombardo by the Centers for Medicare & Medicaid Services?
The Theodore Albert Lombardo has been issued the NPI (National Provider Identifier) 1629192570, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Theodore Albert Lombardo located?
The Theodore Albert Lombardo is located at 3750 San Jose Pl, Jacksonville, FL 322578858.
What is Theodore Albert Lombardo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theodore Albert Lombardo is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.
On what date did the Theodore Albert Lombardo receive the assignment of its 1629192570 from the Centers for Medicare & Medicaid Services?
The Theodore Albert Lombardo was issued its 1629192570 by the Centers for Medicare & Medicaid Services on 2007-03-18.
As of what date was the information regarding Theodore Albert Lombardo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theodore Albert Lombardo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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