Jacqueline Mellissa Vorpahl in Medfield - Clinical Child & Adolescent

Jacqueline Mellissa Vorpahl - NPI 1245417286

Jacqueline Mellissa Vorpahl is a Clinical Child & Adolescent in Medfield, Massachusetts. Jacqueline Mellissa Vorpahl practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jacqueline Mellissa Vorpahl is 1245417286. The last update date is 2008-01-22.

Jacqueline Mellissa Vorpahl's current location address is 258 Main St, Medfield, Massachusetts. You can contact this provider via phone number 5082429666 and fax number 8155728941. The mailing address for Jacqueline Mellissa Vorpahl is 258 Main St, Medfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline Mellissa Vorpahl
Address 258 Main St, Medfield, Massachusetts
Phone Number 5082429666
Fax Number 8155728941
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1245417286
Provider Enumeration Date 2008-01-22
Last Updated Date 2008-01-22

Provider Mailing Address Detail

Address 258 Main St
City Medfield
State Massachusetts (MA)
Post Code 20522041
Phone Number 5082429666
Fax Number 8155728941

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 7426
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 Jacqueline Mellissa Vorpahl

What is the Jacqueline Mellissa Vorpahl's unique identification number?

The Jacqueline Mellissa Vorpahl has been assigned the NPI (National Provider Identifier) Number 1245417286 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Jacqueline Mellissa Vorpahl's facilities are geographically located?

The facilities of Jacqueline Mellissa Vorpahl are physically situated at the following location: 258 Main St, Medfield, MA, 20522041.

What is Jacqueline Mellissa Vorpahl's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jacqueline Mellissa Vorpahl's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.

On what date did Jacqueline Mellissa Vorpahl receive its 1245417286 assignment from the Centers for Medicare & Medicaid Services?

The Jacqueline Mellissa Vorpahl was assigned its 1245417286 on 2008-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jacqueline Mellissa Vorpahl most recently updated or revised?

The details related to Jacqueline Mellissa Vorpahl, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-22.

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