Jack Spector in Baltimore - Clinical Child & Adolescent

Jack Spector - NPI 1093927428

Jack Spector is a Clinical Child & Adolescent in Baltimore, Maryland. Jack Spector practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jack Spector is 1093927428. The last update date is 2007-07-08.

Jack Spector's current location address is 1101 Saint Paul St, Baltimore, Maryland. You can contact this provider via phone number 3017250055 and fax number 8668557976. The mailing address for Jack Spector is 1101 Saint Paul St, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Spector
Address 1101 Saint Paul St, Baltimore, Maryland
Phone Number 3017250055
Fax Number 8668557976
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1093927428
Provider Enumeration Date 2007-05-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1101 Saint Paul St
City Baltimore
State Maryland (MD)
Post Code 212022619
Phone Number 3017250055
Fax Number 8668557976

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 2367
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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FAQs about Jack Spector

What is the unique 10-digit identifier code assigned to Jack Spector by the Centers for Medicare & Medicaid Services?

The Jack Spector has been issued the NPI (National Provider Identifier) 1093927428 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Jack Spector's physical address?

The Jack Spector is physically located at 1101 Saint Paul St, in the city of Baltimore, MD, with the postal code 212022619.

What is the area of specialization for Jack Spector, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jack Spector is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1093927428 to Jack Spector?

The Jack Spector received its 1093927428 assignment from the Centers for Medicare & Medicaid Services on 2007-05-06.

When was the information related to Jack Spector most recently updated or refreshed?

The details pertaining to the Jack Spector, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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