Jumpstart, Llc in Albuquerque - Clinical Child & Adolescent
Jumpstart, Llc - NPI 1225206105
Jumpstart, Llc is a Clinical Child & Adolescent in Albuquerque, New Mexico. Jumpstart, Llc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jumpstart, Llc is 1225206105. The last update date is 2021-04-21.
Jumpstart, Llc's current location address is 8100 M4 Wyoming Ne #406, Albuquerque, New Mexico. You can contact this provider via phone number 5058283837 and fax number 8771828550. The mailing address for Jumpstart, Llc is 8100 M4 Wyoming Ne #406, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jumpstart, Llc |
|---|---|
| Address | 8100 M4 Wyoming Ne #406, Albuquerque, New Mexico |
| Phone Number | 5058283837 |
| Fax Number | 8771828550 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lopez Russell Brian |
| Credentials | PHD |
| Telephone Number | 5058283837 |
NPI Number Detail
| NPI Number | 1225206105 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2021-04-21 |
Provider Mailing Address Detail
| Address | 8100 M4 Wyoming Ne #406 |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871136615 |
| Phone Number | 5058283837 |
| Fax Number | 8771828550 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 877 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jumpstart, Llc by the Centers for Medicare & Medicaid Services?
The Jumpstart, Llc has been issued the NPI (National Provider Identifier) 1225206105 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jumpstart, Llc?
The Jumpstart, Llc is physically situated at 8100 M4 Wyoming Ne #406, in the city of Albuquerque, state of NM, with the postal code 871136615.
What is Jumpstart, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jumpstart, Llc is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
When was the Jumpstart, Llc's 1225206105 issued?
The Jumpstart, Llc's 1225206105 was issued on 2008-02-13.
As of what date were the details pertaining to Jumpstart, Llc last refreshed?
The information related to the Jumpstart, Llc, including its address, specialty, and other relevant details, was last updated on 2021-04-21.
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