Edwin Dej. Perry Joseph in Old Mystic - Clinical
Edwin Dej. Perry Joseph - NPI 1457345266
Edwin Dej. Perry Joseph is a Clinical in Old Mystic, Connecticut. Edwin Dej. Perry Joseph practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edwin Dej. Perry Joseph is 1457345266. The last update date is 2014-03-18.
Edwin Dej. Perry Joseph's current location address is Po Box 521, Old Mystic, Connecticut. You can contact this provider via phone number 8604156837. The mailing address for Edwin Dej. Perry Joseph is Po Box 521, Old Mystic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin Dej. Perry Joseph |
|---|---|
| Address | Po Box 521, Old Mystic, Connecticut |
| Phone Number | 8604156837 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457345266 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2014-03-18 |
Provider Mailing Address Detail
| Address | Po Box 521 |
|---|---|
| City | Old Mystic |
| State | Connecticut (CT) |
| Post Code | 63720521 |
| Phone Number | 8604156837 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4144 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Edwin Dej. Perry Joseph by the Centers for Medicare & Medicaid Services?
The Edwin Dej. Perry Joseph has been assigned the NPI (National Provider Identifier) 1457345266 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Edwin Dej. Perry Joseph is located?
The Edwin Dej. Perry Joseph is situated at the following address: Po Box 521, Old Mystic, CT, 63720521.
What is Edwin Dej. Perry Joseph's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edwin Dej. Perry Joseph is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457345266 to Edwin Dej. Perry Joseph?
The Centers for Medicare & Medicaid Services assigned the 1457345266 to Edwin Dej. Perry Joseph on 2005-09-07.
When was the information pertaining to Edwin Dej. Perry Joseph most recently updated or revised?
The details related to Edwin Dej. Perry Joseph, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-18.