Tri-Care, Pa in Winston Salem - Clinical Child & Adolescent
Tri-Care, Pa - NPI 1558477257
Tri-Care, Pa is a Clinical Child & Adolescent in Winston Salem, North Carolina. Tri-Care, Pa practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Tri-Care, Pa is 1558477257. The last update date is 2020-08-22.
Tri-Care, Pa's current location address is 1702 S Hawthorne Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3366598301 and fax number 3366599361. The mailing address for Tri-Care, Pa is 1702 S Hawthorne Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-Care, Pa |
|---|---|
| Address | 1702 S Hawthorne Rd, Winston Salem, North Carolina |
| Phone Number | 3366598301 |
| Fax Number | 3366599361 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Harrison-Church N. Debbie |
| Telephone Number | 3366598301 |
NPI Number Detail
| NPI Number | 1558477257 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1702 S Hawthorne Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271034016 |
| Phone Number | 3366598301 |
| Fax Number | 3366599361 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
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 |
|---|---|---|---|
| 0204W | NC | BLUECROSSBLUESHIELDGRP# |
Post Comment/ Review Below
What is the unique identification code assigned to Tri-Care, Pa by the Centers for Medicare & Medicaid Services?
The Tri-Care, Pa has been issued the NPI (National Provider Identifier) 1558477257. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tri-Care, Pa?
The Tri-Care, Pa is situated at 1702 S Hawthorne Rd, in the city of Winston Salem, state of NC, with the zip code 271034016.
What is Tri-Care, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tri-Care, Pa's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558477257 to Tri-Care, Pa?
The Centers for Medicare & Medicaid Services assigned the 1558477257 to Tri-Care, Pa on 2006-08-23.
As of what date were the details related to Tri-Care, Pa most recently updated or revised?
The information pertaining to Tri-Care, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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