Stephen Crawford Ikeda in Plymouth - Child & Adolescent Psychiatry
Stephen Crawford Ikeda - NPI 1619900198
Stephen Crawford Ikeda is a Child & Adolescent Psychiatry in Plymouth, Massachusetts. Stephen Crawford Ikeda practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Stephen Crawford Ikeda is 1619900198. The last update date is 2011-12-20.
Stephen Crawford Ikeda's current location address is 64 Industrial Park Rd, Plymouth, Massachusetts. You can contact this provider via phone number 6178471950 and fax number 6177741490. The mailing address for Stephen Crawford Ikeda is 64 Industrial Park Rd, Plymouth, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Crawford Ikeda |
|---|---|
| Address | 64 Industrial Park Rd, Plymouth, Massachusetts |
| Phone Number | 6178471950 |
| Fax Number | 6177741490 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619900198 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2011-12-20 |
Provider Mailing Address Detail
| Address | 64 Industrial Park Rd |
|---|---|
| City | Plymouth |
| State | Massachusetts (MA) |
| Post Code | 23604881 |
| Phone Number | 6178471950 |
| Fax Number | 6177741490 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 73133 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J11337 | MA | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephen Crawford Ikeda by the Centers for Medicare & Medicaid Services?
The Stephen Crawford Ikeda has been issued the NPI (National Provider Identifier) 1619900198, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stephen Crawford Ikeda?
The Stephen Crawford Ikeda is situated at 64 Industrial Park Rd, in the city of Plymouth, state of MA, with the zip code 23604881.
What is Stephen Crawford Ikeda's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen Crawford Ikeda's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date did the Stephen Crawford Ikeda receive its 1619900198 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Crawford Ikeda was assigned its 1619900198 by the Centers for Medicare & Medicaid Services on 2006-07-08.
When was the information regarding Stephen Crawford Ikeda, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stephen Crawford Ikeda, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-12-20.