Amy E Lane in Jacksonville - Developmental Therapist
Amy E Lane - NPI 1104085471
Amy E Lane is a Developmental Therapist in Jacksonville, Florida. Amy E Lane practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Amy E Lane is 1104085471. The last update date is 2011-12-21.
Amy E Lane's current location address is 910 N Jefferson St, Jacksonville, Florida. You can contact this provider via phone number 9043607022 and fax number 9047984544. The mailing address for Amy E Lane is 910 N Jefferson St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy E Lane |
|---|---|
| Address | 910 N Jefferson St, Jacksonville, Florida |
| Phone Number | 9043607022 |
| Fax Number | 9047984544 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104085471 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2011-12-21 |
Provider Mailing Address Detail
| Address | 910 N Jefferson St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322096810 |
| Phone Number | 9043607022 |
| Fax Number | 9047984544 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 280400 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Amy E Lane by the Centers for Medicare & Medicaid Services?
The Amy E Lane has been issued the NPI (National Provider Identifier) 1104085471, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Amy E Lane's physical address?
The Amy E Lane is physically located at 910 N Jefferson St, in the city of Jacksonville, FL, with the postal code 322096810.
What is the area of specialization for Amy E Lane, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Amy E Lane is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104085471 to Amy E Lane?
The Amy E Lane received its 1104085471 assignment from the Centers for Medicare & Medicaid Services on 2008-06-03.
As of what date was the information regarding Amy E Lane, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Amy E Lane, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-21.
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