Mary Theresa Gonzalez in Newtown - Psychiatric/mental Health, Adult

Mary Theresa Gonzalez - NPI 1396928487

Mary Theresa Gonzalez is a Psychiatric/mental Health, Adult in Newtown, Pennsylvania. Mary Theresa Gonzalez practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Mary Theresa Gonzalez is 1396928487. The last update date is 2021-03-30.

Mary Theresa Gonzalez's current location address is 128 N Lincoln Ave, Newtown, Pennsylvania. You can contact this provider via phone number 2158600629 and fax number 2158600629. The mailing address for Mary Theresa Gonzalez is 128 N Lincoln Ave, Newtown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Theresa Gonzalez
Address 128 N Lincoln Ave, Newtown, Pennsylvania
Phone Number 2158600629
Fax Number 2158600629
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1396928487
Provider Enumeration Date 2007-12-11
Last Updated Date 2021-03-30

Provider Mailing Address Detail

Address 128 N Lincoln Ave
City Newtown
State Pennsylvania (PA)
Post Code 189402214
Phone Number 2158600629
Fax Number 2158600629

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 163Wp0809X
Licence No RN256859L
Definition:
A psychiatric nurse who cares for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
83-07571 EVERCARE
GO509036 HORIZON BLUE SHIELD

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FAQs about Mary Theresa Gonzalez

What is the Mary Theresa Gonzalez's unique identification number?

The Mary Theresa Gonzalez has been assigned the NPI (National Provider Identifier) Number 1396928487 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Mary Theresa Gonzalez's facilities are situated?

The facilities of Mary Theresa Gonzalez are physically located at the following address: 128 N Lincoln Ave, Newtown, PA, 189402214.

What is the area of specialization for Mary Theresa Gonzalez, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Theresa Gonzalez is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this area of expertise is 163Wp0809X.

On what date did the Mary Theresa Gonzalez receive its 1396928487 assignment from the Centers for Medicare & Medicaid Services?

The Mary Theresa Gonzalez was assigned its 1396928487 by the Centers for Medicare & Medicaid Services on 2007-12-11.

As of what date was the information pertaining to Mary Theresa Gonzalez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary Theresa Gonzalez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-30.

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