Jack Howard Nassau in Providence - Clinical Child & Adolescent

Jack Howard Nassau - NPI 1750367868

Jack Howard Nassau is a Clinical Child & Adolescent in Providence, Rhode Island. Jack Howard Nassau practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jack Howard Nassau is 1750367868. The last update date is 2012-01-19.

Jack Howard Nassau's current location address is 1 Hoppin St, Providence, Rhode Island. You can contact this provider via phone number 4014448945 and fax number 4014448742. The mailing address for Jack Howard Nassau is 1 Hoppin St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Howard Nassau
Address 1 Hoppin St, Providence, Rhode Island
Phone Number 4014448945
Fax Number 4014448742
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1750367868
Provider Enumeration Date 2005-12-20
Last Updated Date 2012-01-19

Provider Mailing Address Detail

Address 1 Hoppin St
City Providence
State Rhode Island (RI)
Post Code 29034141
Phone Number 4014448945
Fax Number 4014448742

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PS00644
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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FAQs about Jack Howard Nassau

What is the unique 10-digit identifier code issued to Jack Howard Nassau by the Centers for Medicare & Medicaid Services?

The Jack Howard Nassau has been assigned the NPI (National Provider Identifier) 1750367868 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 physical address where Jack Howard Nassau is located?

The Jack Howard Nassau is situated at the following address: 1 Hoppin St, Providence, RI, 29034141.

What is the Jack Howard Nassau's area of specialization and corresponding taxonomy classification?

The Jack Howard Nassau'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 Centers for Medicare & Medicaid Services originally issue the 1750367868 to Jack Howard Nassau?

The Centers for Medicare & Medicaid Services originally issued the 1750367868 to Jack Howard Nassau on 2005-12-20.

When was the information pertaining to Jack Howard Nassau most recently updated or revised?

The details related to Jack Howard Nassau, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-19.

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