Joseph Marshall Cereghino in Portland - Clinical Child & Adolescent
Joseph Marshall Cereghino - NPI 1396865507
Joseph Marshall Cereghino is a Clinical Child & Adolescent in Portland, Oregon. Joseph Marshall Cereghino practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Joseph Marshall Cereghino is 1396865507. The last update date is 2007-07-08.
Joseph Marshall Cereghino's current location address is 2732 Ne Broadway St, Portland, Oregon. You can contact this provider via phone number 5037308675. The mailing address for Joseph Marshall Cereghino is 2732 Ne Broadway St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Marshall Cereghino |
|---|---|
| Address | 2732 Ne Broadway St, Portland, Oregon |
| Phone Number | 5037308675 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1396865507 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2732 Ne Broadway St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972321723 |
| Phone Number | 5037308675 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 1712 |
|
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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What is the unique 10-digit identifier code issued to Joseph Marshall Cereghino by the Centers for Medicare & Medicaid Services?
The Joseph Marshall Cereghino has been assigned the NPI (National Provider Identifier) 1396865507 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Joseph Marshall Cereghino is physically located?
The Joseph Marshall Cereghino is situated at the following address: 2732 Ne Broadway St, Portland, OR 972321723.
What is Joseph Marshall Cereghino's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joseph Marshall Cereghino'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 Joseph Marshall Cereghino receive its 1396865507 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Marshall Cereghino was assigned its 1396865507 on 2007-03-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Joseph Marshall Cereghino most recently updated or revised?
The information pertaining to Joseph Marshall Cereghino, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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