Bruce Michael Ecker in Springfield - Clinical Child & Adolescent

Bruce Michael Ecker - NPI 1366654766

Bruce Michael Ecker is a Clinical Child & Adolescent in Springfield, Massachusetts. Bruce Michael Ecker practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Bruce Michael Ecker is 1366654766. The last update date is 2007-07-08.

Bruce Michael Ecker's current location address is 780 Chestnut St, Springfield, Massachusetts. You can contact this provider via phone number 4137338445 and fax number 4137338429. The mailing address for Bruce Michael Ecker is 780 Chestnut St, Springfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Michael Ecker
Address 780 Chestnut St, Springfield, Massachusetts
Phone Number 4137338445
Fax Number 4137338429
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1366654766
Provider Enumeration Date 2007-05-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 780 Chestnut St
City Springfield
State Massachusetts (MA)
Post Code 11071610
Phone Number 4137338445
Fax Number 4137338429

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6377
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
236595 MO MBC CORPORATION
792894 MA TUFTS HEALTH PLAN
W05829 MA BLUE CROSS BLUE SHIELD
87726 UT UNITED BEHAVIORAL HEALTH
P3447893 CT OXFORD HEALTH PLANS

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FAQs about Bruce Michael Ecker

What is the Bruce Michael Ecker's unique identification number?

The Bruce Michael Ecker has been assigned the NPI (National Provider Identifier) Number 1366654766 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Bruce Michael Ecker is located?

The Bruce Michael Ecker is situated at the following address: 780 Chestnut St, Springfield, MA, 11071610.

What is the Bruce Michael Ecker's area of specialization and corresponding taxonomy classification?

The Bruce Michael Ecker's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.

On what date did the Bruce Michael Ecker receive the assignment of its 1366654766 from the Centers for Medicare & Medicaid Services?

The Bruce Michael Ecker was issued its 1366654766 by the Centers for Medicare & Medicaid Services on 2007-05-06.

When was the information regarding Bruce Michael Ecker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bruce Michael Ecker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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