James Warner Nettleton in Philadelphia - Intellectual And Developmental Disabilities
James Warner Nettleton - NPI 1043219892
James Warner Nettleton is a Intellectual And Developmental Disabilities in Philadelphia, Pennsylvania. James Warner Nettleton practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for James Warner Nettleton is 1043219892. The last update date is 2007-07-08.
James Warner Nettleton's current location address is 123 S Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155460300 and fax number 2157904989. The mailing address for James Warner Nettleton is 123 S Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Warner Nettleton |
|---|---|
| Address | 123 S Broad St, Philadelphia, Pennsylvania |
| Phone Number | 2155460300 |
| Fax Number | 2157904989 |
| Sole Proprietor | X |
| Credentials | MD PHD |
NPI Number Detail
| NPI Number | 1043219892 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 123 S Broad St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191091029 |
| Phone Number | 2155460300 |
| Fax Number | 2157904989 |
Provider's Primary Taxonomy Detail
| Speciality | Intellectual And Developmental Disabilities |
|---|---|
| Taxonomy | 103Tm1800X |
| Licence No | MD024965E |
|
Definition: A psychologist who works with people who have cognitive impairments and developmental disabilities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1676580 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James Warner Nettleton by the Centers for Medicare & Medicaid Services?
The James Warner Nettleton has been issued the NPI (National Provider Identifier) 1043219892, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where James Warner Nettleton is located?
The James Warner Nettleton is situated at the following address: 123 S Broad St, Philadelphia, PA, 191091029.
What is James Warner Nettleton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James Warner Nettleton is Intellectual And Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 103Tm1800X.
On what date did the James Warner Nettleton receive the assignment of its 1043219892 from the Centers for Medicare & Medicaid Services?
The James Warner Nettleton was issued its 1043219892 by the Centers for Medicare & Medicaid Services on 2005-07-14.
When was the information pertaining to James Warner Nettleton most recently updated or revised?
The details related to James Warner Nettleton, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.