Cynthia Medich in Brockton - Psychiatric/mental Health, Adult

Cynthia Medich - NPI 1750476412

Cynthia Medich is a Psychiatric/mental Health, Adult in Brockton, Massachusetts. Cynthia Medich practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Cynthia Medich is 1750476412. The last update date is 2007-07-08.

Cynthia Medich's current location address is 529 Pearl St, Brockton, Massachusetts. You can contact this provider via phone number 5085802211 and fax number 5084271772. The mailing address for Cynthia Medich is 529 Pearl St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Cynthia Medich
Address 529 Pearl St, Brockton, Massachusetts
Phone Number 5085802211
Fax Number 5084271772
Sole Proprietor N
Credentials PHD APRN P

NPI Number Detail

NPI Number 1750476412
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 529 Pearl St
City Brockton
State Massachusetts (MA)
Post Code 23012825
Phone Number 5085802211
Fax Number 5084271772

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 364Sp0809X
Licence No 152784
Definition:
A psychiatric clinical nurse specialist expert in caring for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PN0824 MA BLUE SHIELD

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FAQs about Cynthia Medich

What is the unique identifier code issued to Cynthia Medich by the Centers for Medicare & Medicaid Services (CMS)?

The Cynthia Medich has been assigned the NPI (National Provider Identifier) 1750476412. 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 Cynthia Medich is geographically located?

The Cynthia Medich is physically situated at the following location: 529 Pearl St, Brockton, MA, 23012825.

What is Cynthia Medich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Cynthia Medich's specialized field of practice is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this area of specialization is 364Sp0809X.

When did the Cynthia Medich receive its 1750476412?

The Cynthia Medich was issued its 1750476412 on 2006-10-04, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Cynthia Medich most recently updated or revised?

The information pertaining to Cynthia Medich, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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