Jennifer Travers Shallat in Oakland - Clinical
Jennifer Travers Shallat - NPI 1629271499
Jennifer Travers Shallat is a Clinical in Oakland, California. Jennifer Travers Shallat practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Travers Shallat is 1629271499. The last update date is 2010-12-01.
Jennifer Travers Shallat's current location address is 390 40th St, Oakland, California. You can contact this provider via phone number 5106535040 and fax number 5106536475. The mailing address for Jennifer Travers Shallat is 390 40th St, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Travers Shallat |
|---|---|
| Address | 390 40th St, Oakland, California |
| Phone Number | 5106535040 |
| Fax Number | 5106536475 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629271499 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2010-12-01 |
Provider Mailing Address Detail
| Address | 390 40th St |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946092633 |
| Phone Number | 5106535040 |
| Fax Number | 5106536475 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW 23320 |
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Post Comment/ Review Below
What is the Jennifer Travers Shallat's unique identification number?
The Jennifer Travers Shallat has been assigned the NPI (National Provider Identifier) Number 1629271499 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jennifer Travers Shallat?
The Jennifer Travers Shallat is situated at 390 40Th St, in the city of Oakland, state of CA, with the zip code 946092633.
What is Jennifer Travers Shallat's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Travers Shallat is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did Jennifer Travers Shallat receive its 1629271499 assignment?
The Jennifer Travers Shallat was assigned its 1629271499 on 2007-06-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jennifer Travers Shallat most recently updated or revised?
The information pertaining to Jennifer Travers Shallat, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-01.