Jaee Bodas in Richmond - Clinical Child & Adolescent
Jaee Bodas - NPI 1841450053
Jaee Bodas is a Clinical Child & Adolescent in Richmond, Virginia. Jaee Bodas practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jaee Bodas is 1841450053. The last update date is 2018-05-09.
Jaee Bodas's current location address is 1308 Sherwood Ave, Richmond, Virginia. You can contact this provider via phone number 8048283129 and fax number 8048289493. The mailing address for Jaee Bodas is 1308 Sherwood Ave, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaee Bodas |
|---|---|
| Address | 1308 Sherwood Ave, Richmond, Virginia |
| Phone Number | 8048283129 |
| Fax Number | 8048289493 |
| Sole Proprietor | N |
| Credentials | PH.D. LCP |
NPI Number Detail
| NPI Number | 1841450053 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2018-05-09 |
Provider Mailing Address Detail
| Address | 1308 Sherwood Ave |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232201210 |
| Phone Number | 8048283129 |
| Fax Number | 8048289493 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 810003928 |
|
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 Jaee Bodas's 1841450053?
The Jaee Bodas's NPI (National Provider Identifier) Number is 1841450053. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jaee Bodas located?
The Jaee Bodas is located at 1308 Sherwood Ave, Richmond, VA 232201210.
What is Jaee Bodas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jaee Bodas is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841450053 to Jaee Bodas?
The Centers for Medicare & Medicaid Services originally issued the 1841450053 to Jaee Bodas on 2008-06-11.
As of what date were the Jaee Bodas's details last updated?
The information pertaining to the Jaee Bodas, including its address, specialty, and other details, was most recently updated on 2018-05-09.
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