Jeffrey Robert Petra in Olympia - Clinical Child & Adolescent
Jeffrey Robert Petra - NPI 1487739603
Jeffrey Robert Petra is a Clinical Child & Adolescent in Olympia, Washington. Jeffrey Robert Petra practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jeffrey Robert Petra is 1487739603. The last update date is 2007-07-08.
Jeffrey Robert Petra's current location address is 1800 Cooper Point Rd Sw Ste 17, Olympia, Washington. You can contact this provider via phone number 3607544662 and fax number 3603523289. The mailing address for Jeffrey Robert Petra is 1800 Cooper Point Rd Sw Ste 17, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Robert Petra |
|---|---|
| Address | 1800 Cooper Point Rd Sw Ste 17, Olympia, Washington |
| Phone Number | 3607544662 |
| Fax Number | 3603523289 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1487739603 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1800 Cooper Point Rd Sw Ste 17 |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985021179 |
| Phone Number | 3607544662 |
| Fax Number | 3603523289 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffrey Robert Petra by the Centers for Medicare & Medicaid Services?
The Jeffrey Robert Petra has been issued the NPI (National Provider Identifier) 1487739603, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeffrey Robert Petra is physically located?
The Jeffrey Robert Petra is situated at the following address: 1800 Cooper Point Rd Sw Ste 17, Olympia, WA 985021179.
What is Jeffrey Robert Petra's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Robert Petra's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date was the 1487739603 assigned to Jeffrey Robert Petra?
The Jeffrey Robert Petra was issued its 1487739603 on 2006-10-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jeffrey Robert Petra, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey Robert Petra, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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