Jack Richard Araza in Carson City - Clinical Child & Adolescent
Jack Richard Araza - NPI 1992926646
Jack Richard Araza is a Clinical Child & Adolescent in Carson City, Nevada. Jack Richard Araza practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jack Richard Araza is 1992926646. The last update date is 2007-07-08.
Jack Richard Araza's current location address is 309 East John St. Ste #1, Carson City, Nevada. You can contact this provider via phone number 7758850206 and fax number 7758832720. The mailing address for Jack Richard Araza is 309 East John St. Ste #1, Carson City, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Richard Araza |
|---|---|
| Address | 309 East John St. Ste #1, Carson City, Nevada |
| Phone Number | 7758850206 |
| Fax Number | 7758832720 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1992926646 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 309 East John St. Ste #1 |
|---|---|
| City | Carson City |
| State | Nevada (NV) |
| Post Code | 89706 |
| Phone Number | 7758850206 |
| Fax Number | 7758832720 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 96 |
|
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 |
|---|---|---|---|
| 2613002 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Richard Araza by the Centers for Medicare & Medicaid Services?
The Jack Richard Araza has been issued the NPI (National Provider Identifier) 1992926646, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jack Richard Araza?
The Jack Richard Araza is physically situated at 309 East John St. Ste #1, in the city of Carson City, state of NV, with the postal code 89706.
What is Jack Richard Araza's area of expertise and its corresponding taxonomy classification?
The Jack Richard Araza's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1992926646 to Jack Richard Araza?
The Jack Richard Araza received its 1992926646 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details related to Jack Richard Araza most recently updated or revised?
The information pertaining to Jack Richard Araza, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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