Raymond J Havlicek in Lake Placid - Forensic

Raymond J Havlicek - NPI 1215152095

Raymond J Havlicek is a Forensic in Lake Placid, New York. Raymond J Havlicek practices all healthcare services and medical treatments related to Forensic. The NPI Number for Raymond J Havlicek is 1215152095. The last update date is 2009-04-20.

Raymond J Havlicek's current location address is 30 Cayuga Way, Lake Placid, New York. You can contact this provider via phone number 5184419426 and fax number 5167769275. The mailing address for Raymond J Havlicek is 30 Cayuga Way, Lake Placid, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond J Havlicek
Address 30 Cayuga Way, Lake Placid, New York
Phone Number 5184419426
Fax Number 5167769275
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1215152095
Provider Enumeration Date 2007-04-16
Last Updated Date 2009-04-20

Provider Mailing Address Detail

Address 30 Cayuga Way
City Lake Placid
State New York (NY)
Post Code 129463915
Phone Number 5184419426
Fax Number 5167769275

Provider's Primary Taxonomy Detail

Speciality Forensic
Taxonomy 103Tf0200X
Licence No 4718
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 Raymond J Havlicek

What is the Raymond J Havlicek's 1215152095?

The Raymond J Havlicek's NPI (National Provider Identifier) Number is 1215152095. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Raymond J Havlicek's facilities are geographically located?

The facilities of Raymond J Havlicek are physically situated at the following location: 30 Cayuga Way, Lake Placid, NY, 129463915.

What is Raymond J Havlicek's specialized field of practice, and what is the corresponding taxonomy classification code?

The Raymond J Havlicek's area of specialization is Forensic, and the corresponding taxonomy code that categorizes this field of practice is 103Tf0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1215152095 to Raymond J Havlicek?

The Raymond J Havlicek received its 1215152095 assignment from the Centers for Medicare & Medicaid Services on 2007-04-16.

As of what date were the details related to Raymond J Havlicek most recently updated or revised?

The information pertaining to Raymond J Havlicek, including its address, specialty, and other relevant details, was last updated or revised on 2009-04-20.

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