Vital Sources, Llc in Frederick - Forensic

Vital Sources, Llc - NPI 1770605321

Vital Sources, Llc is a Forensic in Frederick, Maryland. Vital Sources, Llc practices all healthcare services and medical treatments related to Forensic. The NPI Number for Vital Sources, Llc is 1770605321. The last update date is 2016-07-05.

Vital Sources, Llc's current location address is 116 Record St, Frederick, Maryland. You can contact this provider via phone number 3016208700 and fax number 3016208710. The mailing address for Vital Sources, Llc is 116 Record St, Frederick, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Vital Sources, Llc
Address 116 Record St, Frederick, Maryland
Phone Number 3016208700
Fax Number 3016208710
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER
Authorized Official Name Roembke E. James
Credentials PSY.D.
Telephone Number 3016208700

NPI Number Detail

NPI Number 1770605321
Provider Enumeration Date 2007-04-04
Last Updated Date 2016-07-05

Provider Mailing Address Detail

Address 116 Record St
City Frederick
State Maryland (MD)
Post Code 217015418
Phone Number 3016208700
Fax Number 3016208710

Provider's Primary Taxonomy Detail

Speciality Forensic
Taxonomy 103Tf0200X
Definition:
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

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FAQs about Vital Sources, Llc

What is the unique provider identifier assigned to Vital Sources, Llc?

The Vital Sources, Llc has been issued the NPI (National Provider Identifier) 1770605321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Vital Sources, Llc is located?

The Vital Sources, Llc is situated at the following address: 116 Record St, Frederick, MD, 217015418.

What is Vital Sources, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vital Sources, Llc's specialized field of practice is Forensic, and the corresponding taxonomy code that categorizes this area of specialization is 103Tf0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1770605321 to Vital Sources, Llc?

The Vital Sources, Llc received its 1770605321 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.

When was the information pertaining to Vital Sources, Llc most recently updated or revised?

The details related to Vital Sources, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-05.

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