Efrain Segarra in Gloucester - Clinical Child & Adolescent
Efrain Segarra - NPI 1497759419
Efrain Segarra is a Clinical Child & Adolescent in Gloucester, Virginia. Efrain Segarra practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Efrain Segarra is 1497759419. The last update date is 2008-10-29.
Efrain Segarra's current location address is 5557 Carys Brook Ln, Gloucester, Virginia. You can contact this provider via phone number 7573446747 and fax number 8046951815. The mailing address for Efrain Segarra is 5557 Carys Brook Ln, Gloucester, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Efrain Segarra |
|---|---|
| Address | 5557 Carys Brook Ln, Gloucester, Virginia |
| Phone Number | 7573446747 |
| Fax Number | 8046951815 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1497759419 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2008-10-29 |
Provider Mailing Address Detail
| Address | 5557 Carys Brook Ln |
|---|---|
| City | Gloucester |
| State | Virginia (VA) |
| Post Code | 2306120020 |
| Phone Number | 7573446747 |
| Fax Number | 8046951815 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 810001283 |
|
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 |
|---|---|---|---|
| 289120 | VA | ANTHEM BLUE CROSS | |
| 10164206 | VA | -- | |
| 10164851 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Efrain Segarra by the Centers for Medicare & Medicaid Services?
The Efrain Segarra has been assigned the NPI (National Provider Identifier) 1497759419 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Efrain Segarra is physically located?
The Efrain Segarra is physically situated at the following address: 5557 Carys Brook Ln, Gloucester, VA, 2306120020.
What is Efrain Segarra's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Efrain Segarra is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497759419 to Efrain Segarra?
The Centers for Medicare & Medicaid Services assigned the 1497759419 to Efrain Segarra on 2005-06-08.
As of what date was the information pertaining to Efrain Segarra, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Efrain Segarra, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-29.
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