Kathleen Braden in Worcester - Developmental - Behavioral Pediatrics
Kathleen Braden - NPI 1922192822
Kathleen Braden is a Developmental - Behavioral Pediatrics in Worcester, Massachusetts. Kathleen Braden practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Kathleen Braden is 1922192822. The last update date is 2007-07-08.
Kathleen Braden's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5088563030. The mailing address for Kathleen Braden is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Braden |
|---|---|
| Address | 55 Lake Ave N, Worcester, Massachusetts |
| Phone Number | 5088563030 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922192822 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5088563030 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | 51501 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2097133 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kathleen Braden by the Centers for Medicare & Medicaid Services (CMS)?
The Kathleen Braden has been assigned the NPI (National Provider Identifier) 1922192822. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Kathleen Braden is geographically located?
The Kathleen Braden is physically situated at the following location: 55 Lake Ave N, Worcester, MA, 16550002.
What is Kathleen Braden's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathleen Braden is Developmental - Behavioral Pediatrics, and the taxonomy code that categorizes this field of expertise is 2080P0006X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922192822 to Kathleen Braden?
The Centers for Medicare & Medicaid Services originally issued the 1922192822 to Kathleen Braden on 2006-10-03.
When was the information regarding Kathleen Braden, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kathleen Braden, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1215930425
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