Deanna Pedro Pham is a Clinical in Worcester, Massachusetts. Deanna Pedro Pham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deanna Pedro Pham is 1881795508. The last update date is 2020-12-03.
Deanna Pedro Pham's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5083343240 and fax number 5084211000. The mailing address for Deanna Pedro Pham is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deanna Pedro Pham |
|---|---|
| Address | 55 Lake Ave N, Worcester, Massachusetts |
| Phone Number | 5083343240 |
| Fax Number | 5084211000 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881795508 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2020-12-03 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5083343240 |
| Fax Number | 5084211000 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1021584 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Deanna Pedro Pham by the Centers for Medicare & Medicaid Services?
The Deanna Pedro Pham has been issued the NPI (National Provider Identifier) 1881795508. This 10-digit code 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 Deanna Pedro Pham is located?
The Deanna Pedro Pham is situated at the following address: 55 Lake Ave N, Worcester, MA, 16550002.
What is Deanna Pedro Pham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Deanna Pedro Pham's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881795508 to Deanna Pedro Pham?
The Centers for Medicare & Medicaid Services originally issued the 1881795508 to Deanna Pedro Pham on 2006-09-26.
As of what date were the Deanna Pedro Pham's details last updated?
The information pertaining to the Deanna Pedro Pham, including its address, specialty, and other details, was most recently updated on 2020-12-03.