Judith Hallstrom is a Psychiatry in Macclenny, Florida. Judith Hallstrom practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Judith Hallstrom is 1790892917. The last update date is 2007-07-08.
Judith Hallstrom's current location address is 7487 S State Road 121, Macclenny, Florida. You can contact this provider via phone number 9042596211 and fax number 9042597104. The mailing address for Judith Hallstrom is 7487 S State Road 121, Macclenny, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Hallstrom |
|---|---|
| Address | 7487 S State Road 121, Macclenny, Florida |
| Phone Number | 9042596211 |
| Fax Number | 9042597104 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790892917 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7487 S State Road 121 |
|---|---|
| City | Macclenny |
| State | Florida (FL) |
| Post Code | 320635451 |
| Phone Number | 9042596211 |
| Fax Number | 9042597104 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | ME 45244 |
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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 |
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Post Comment/ Review Below
What is the Judith Hallstrom's unique identification number?
The Judith Hallstrom has been assigned the NPI (National Provider Identifier) Number 1790892917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Judith Hallstrom's physical address?
The Judith Hallstrom is physically located at 7487 S State Road 121, in the city of Macclenny, FL, with the postal code 320635451.
What is Judith Hallstrom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Judith Hallstrom is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
On what date did the Judith Hallstrom receive its 1790892917 assignment from the Centers for Medicare & Medicaid Services?
The Judith Hallstrom was assigned its 1790892917 by the Centers for Medicare & Medicaid Services on 2006-08-24.
As of what date were the details related to Judith Hallstrom most recently updated or revised?
The information pertaining to Judith Hallstrom, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.