Jennifer Ellen Tisdell in Holyoke - Developmental Therapist
Jennifer Ellen Tisdell - NPI 1467634683
Jennifer Ellen Tisdell is a Developmental Therapist in Holyoke, Massachusetts. Jennifer Ellen Tisdell practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Jennifer Ellen Tisdell is 1467634683. The last update date is 2007-11-29.
Jennifer Ellen Tisdell's current location address is 18 Keefe Ave, Holyoke, Massachusetts. You can contact this provider via phone number 4135368287. The mailing address for Jennifer Ellen Tisdell is 18 Keefe Ave, Holyoke, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer Ellen Tisdell |
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Address | 18 Keefe Ave, Holyoke, Massachusetts |
Phone Number | 4135368287 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1467634683 |
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Provider Enumeration Date | 2007-11-29 |
Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
Address | 18 Keefe Ave |
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City | Holyoke |
State | Massachusetts (MA) |
Post Code | 10402213 |
Phone Number | 4135368287 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Developmental Therapist |
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Taxonomy | 222Q00000X |
Licence No | S60873821 |
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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What is the Jennifer Ellen Tisdell's unique identification number?
The Jennifer Ellen Tisdell has been assigned the NPI (National Provider Identifier) Number 1467634683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jennifer Ellen Tisdell located?
The Jennifer Ellen Tisdell is located at 18 Keefe Ave, Holyoke, MA 10402213.
What is Jennifer Ellen Tisdell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer Ellen Tisdell is Developmental Therapist, and the taxonomy classification code that categorizes this area of expertise is 222Q00000X.
On what date did Jennifer Ellen Tisdell receive its 1467634683 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Ellen Tisdell was assigned its 1467634683 on 2007-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jennifer Ellen Tisdell's information last updated?
The Jennifer Ellen Tisdell's information was last updated on 2007-11-29.
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