B. Ellen Theg in Hastings On Hudson - Specialist

B. Ellen Theg - NPI 1629113964

B. Ellen Theg is a Specialist in Hastings On Hudson, New York. B. Ellen Theg practices all healthcare services and medical treatments related to Specialist. The NPI Number for B. Ellen Theg is 1629113964. The last update date is 2007-07-08.

B. Ellen Theg's current location address is 645 N Broadway, Hastings On Hudson, New York. You can contact this provider via phone number 9144784714. The mailing address for B. Ellen Theg is 645 N Broadway, Hastings On Hudson, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name B. Ellen Theg
Address 645 N Broadway, Hastings On Hudson, New York
Phone Number 9144784714
Fax Number
Sole Proprietor Y
Credentials LIC. PSYCH

NPI Number Detail

NPI Number 1629113964
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 645 N Broadway
City Hastings On Hudson
State New York (NY)
Post Code 107061064
Phone Number 9144784714
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 000619-1
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000619-1 NY LICENSED PSYCHOANALYST

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FAQs about B. Ellen Theg

What is the unique 10-digit identifier code issued to B. Ellen Theg by the Centers for Medicare & Medicaid Services?

The B. Ellen Theg has been assigned the NPI (National Provider Identifier) 1629113964 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the B. Ellen Theg located?

The B. Ellen Theg is located at 645 N Broadway, Hastings On Hudson, NY 107061064.

What is B. Ellen Theg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for B. Ellen Theg is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the B. Ellen Theg receive the assignment of its 1629113964 from the Centers for Medicare & Medicaid Services?

The B. Ellen Theg was issued its 1629113964 by the Centers for Medicare & Medicaid Services on 2007-02-21.

As of what date were the details related to B. Ellen Theg most recently updated or revised?

The information pertaining to B. Ellen Theg, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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