Deborah L Blacker in Boston - Geriatric Psychiatry

Deborah L Blacker - NPI 1205800521

Deborah L Blacker is a Geriatric Psychiatry in Boston, Massachusetts. Deborah L Blacker practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Deborah L Blacker is 1205800521. The last update date is 2007-07-09.

Deborah L Blacker's current location address is 55 Fruit St 149 2691, Boston, Massachusetts. You can contact this provider via phone number 6177265571 and fax number 6177265760. The mailing address for Deborah L Blacker is 55 Fruit St 149 2691, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Deborah L Blacker
Address 55 Fruit St 149 2691, Boston, Massachusetts
Phone Number 6177265571
Fax Number 6177265760
Sole Proprietor X
Credentials MD SCD

NPI Number Detail

NPI Number 1205800521
Provider Enumeration Date 2006-02-14
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 55 Fruit St 149 2691
City Boston
State Massachusetts (MA)
Post Code 2114
Phone Number 6177265571
Fax Number 6177265760

Provider's Primary Taxonomy Detail

Speciality Geriatric Psychiatry
Taxonomy 2084P0805X
Licence No 55900
Definition:
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3032663 MA --
J08006 BLUE CROSS BLUE SHIELD

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FAQs about Deborah L Blacker

What is the unique identifier code issued to Deborah L Blacker by the Centers for Medicare & Medicaid Services (CMS)?

The Deborah L Blacker has been assigned the NPI (National Provider Identifier) 1205800521. 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 Deborah L Blacker is geographically located?

The Deborah L Blacker is physically situated at the following location: 55 Fruit St 149 2691, Boston, MA, 2114.

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

The area of specialization for Deborah L Blacker is Geriatric Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0805X.

When was the Deborah L Blacker's 1205800521 issued?

The Deborah L Blacker's 1205800521 was issued on 2006-02-14.

As of what date was the information pertaining to Deborah L Blacker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Deborah L Blacker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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