Larry Wayne Breedlove in Hollidaysburg - Clinical
Larry Wayne Breedlove - NPI 1326179474
Larry Wayne Breedlove is a Clinical in Hollidaysburg, Pennsylvania. Larry Wayne Breedlove practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry Wayne Breedlove is 1326179474. The last update date is 2023-07-28.
Larry Wayne Breedlove's current location address is 1906 N Juniata St, Hollidaysburg, Pennsylvania. You can contact this provider via phone number 8146952984 and fax number 8146952110. The mailing address for Larry Wayne Breedlove is 1906 N Juniata St, Hollidaysburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Wayne Breedlove |
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Address | 1906 N Juniata St, Hollidaysburg, Pennsylvania |
Phone Number | 8146952984 |
Fax Number | 8146952110 |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1326179474 |
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Provider Enumeration Date | 2007-03-08 |
Last Updated Date | 2023-07-28 |
Provider Mailing Address Detail
Address | 1906 N Juniata St |
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City | Hollidaysburg |
State | Pennsylvania (PA) |
Post Code | 166481908 |
Phone Number | 8146952984 |
Fax Number | 8146952110 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | CW023022 |
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 |
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SYC7165 | CA | STAFF CODE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Larry Wayne Breedlove by the Centers for Medicare & Medicaid Services?
The Larry Wayne Breedlove has been assigned the NPI (National Provider Identifier) 1326179474 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Larry Wayne Breedlove?
The Larry Wayne Breedlove is situated at 1906 N Juniata St, in the city of Hollidaysburg, state of PA, with the zip code 166481908.
What is the Larry Wayne Breedlove's area of specialization and corresponding taxonomy classification?
The Larry Wayne Breedlove's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1326179474 to Larry Wayne Breedlove?
The Larry Wayne Breedlove received its 1326179474 assignment from the Centers for Medicare & Medicaid Services on 2007-03-08.
When was the information regarding Larry Wayne Breedlove, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Larry Wayne Breedlove, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-07-28.