Simon Mcclure in Bridgeport - Psychiatry

Simon Mcclure - NPI 1386677813

Simon Mcclure is a Psychiatry in Bridgeport, . Simon Mcclure practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Simon Mcclure is 1386677813. The last update date is 2007-07-08.

Simon Mcclure's current location address is 1160 Johnson Ave, Bridgeport, . You can contact this provider via phone number 3048429084 and fax number 3048429085. The mailing address for Simon Mcclure is 1160 Johnson Ave, Bridgeport, . To know further, please read the information below!

Provider Profile Detail

Provider Name Simon Mcclure
Address 1160 Johnson Ave, Bridgeport,
Phone Number 3048429084
Fax Number 3048429085
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386677813
Provider Enumeration Date 2006-07-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1160 Johnson Ave
City Bridgeport
State (WV)
Post Code 26330
Phone Number 3048429084
Fax Number 3048429085

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 17045
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
115260000 WV --

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FAQs about Simon Mcclure

What is the unique identifier code issued to Simon Mcclure by the Centers for Medicare & Medicaid Services (CMS)?

The Simon Mcclure has been assigned the NPI (National Provider Identifier) 1386677813. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Simon Mcclure located?

The Simon Mcclure is located at 1160 Johnson Ave, Bridgeport, WV 26330.

What is Simon Mcclure's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Simon Mcclure is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.

When did Simon Mcclure receive its 1386677813 assignment?

The Simon Mcclure was assigned its 1386677813 on 2006-07-08, which is the date when this unique identifier was issued to the organization.

As of what date were the Simon Mcclure's details last updated?

The information pertaining to the Simon Mcclure, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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