Treva Fae Jacquel in Milford - Developmental Therapist
Treva Fae Jacquel - NPI 1861672404
Treva Fae Jacquel is a Developmental Therapist in Milford, Massachusetts. Treva Fae Jacquel practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Treva Fae Jacquel is 1861672404. The last update date is 2007-11-12.
Treva Fae Jacquel's current location address is 375 Fortune Blvd, Milford, Massachusetts. You can contact this provider via phone number 5084787752 and fax number 5084789174. The mailing address for Treva Fae Jacquel is 375 Fortune Blvd, Milford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Treva Fae Jacquel |
|---|---|
| Address | 375 Fortune Blvd, Milford, Massachusetts |
| Phone Number | 5084787752 |
| Fax Number | 5084789174 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861672404 |
|---|---|
| Provider Enumeration Date | 2007-11-12 |
| Last Updated Date | 2007-11-12 |
Provider Mailing Address Detail
| Address | 375 Fortune Blvd |
|---|---|
| City | Milford |
| State | Massachusetts (MA) |
| Post Code | 17571723 |
| Phone Number | 5084787752 |
| Fax Number | 5084789174 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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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 Treva Fae Jacquel's unique identification number?
The Treva Fae Jacquel has been assigned the NPI (National Provider Identifier) Number 1861672404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Treva Fae Jacquel's physical address?
The Treva Fae Jacquel is physically located at 375 Fortune Blvd, in the city of Milford, MA, with the postal code 17571723.
What is Treva Fae Jacquel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Treva Fae Jacquel's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1861672404 to Treva Fae Jacquel?
The Centers for Medicare & Medicaid Services assigned the 1861672404 to Treva Fae Jacquel on 2007-11-12.
When was the information regarding Treva Fae Jacquel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Treva Fae Jacquel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-12.