Jeffrey Dworkin in Montpelier - Clinical Child & Adolescent
Jeffrey Dworkin - NPI 1104986637
Jeffrey Dworkin is a Clinical Child & Adolescent in Montpelier, Vermont. Jeffrey Dworkin practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jeffrey Dworkin is 1104986637. The last update date is 2007-07-08.
Jeffrey Dworkin's current location address is 24 Court St., Montpelier, Vermont. You can contact this provider via phone number 8022236733 and fax number 8022236733. The mailing address for Jeffrey Dworkin is 24 Court St., Montpelier, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Dworkin |
|---|---|
| Address | 24 Court St., Montpelier, Vermont |
| Phone Number | 8022236733 |
| Fax Number | 8022236733 |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1104986637 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24 Court St. |
|---|---|
| City | Montpelier |
| State | Vermont (VT) |
| Post Code | 5602 |
| Phone Number | 8022236733 |
| Fax Number | 8022236733 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 695 |
|
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 |
|---|---|---|---|
| 1007379 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey Dworkin by the Centers for Medicare & Medicaid Services?
The Jeffrey Dworkin has been issued the NPI (National Provider Identifier) 1104986637 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jeffrey Dworkin?
The Jeffrey Dworkin is situated at 24 Court St., in the city of Montpelier, state of VT, with the zip code 5602.
What is Jeffrey Dworkin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Dworkin's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
On what date did the Jeffrey Dworkin receive the assignment of its 1104986637 from the Centers for Medicare & Medicaid Services?
The Jeffrey Dworkin was issued its 1104986637 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date were the details related to Jeffrey Dworkin most recently updated or revised?
The information pertaining to Jeffrey Dworkin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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