Anthony Provazza in Exeter - Clinical

Anthony Provazza - NPI 1790853547

Anthony Provazza is a Clinical in Exeter, New Hampshire. Anthony Provazza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Anthony Provazza is 1790853547. The last update date is 2007-07-18.

Anthony Provazza's current location address is 24 Front St, Exeter, New Hampshire. You can contact this provider via phone number 6038666269. The mailing address for Anthony Provazza is 24 Front St, Exeter, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony Provazza
Address 24 Front St, Exeter, New Hampshire
Phone Number 6038666269
Fax Number
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1790853547
Provider Enumeration Date 2006-12-01
Last Updated Date 2007-07-18

Provider Mailing Address Detail

Address 24 Front St
City Exeter
State New Hampshire (NH)
Post Code 38332727
Phone Number 6038666269
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 465
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7706655Y0NH01 NH BHN
99003227 NH --

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FAQs about Anthony Provazza

What is the unique 10-digit identifier code assigned to Anthony Provazza by the Centers for Medicare & Medicaid Services?

The Anthony Provazza has been issued the NPI (National Provider Identifier) 1790853547 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Anthony Provazza is located?

The Anthony Provazza is situated at the following address: 24 Front St, Exeter, NH, 38332727.

What is Anthony Provazza'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 Anthony Provazza is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790853547 to Anthony Provazza?

The Centers for Medicare & Medicaid Services originally issued the 1790853547 to Anthony Provazza on 2006-12-01.

When was the information regarding Anthony Provazza most recently updated?

The details pertaining to the Anthony Provazza, including its address, specialty, and other relevant information, were last refreshed on 2007-07-18.

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