Dale Karen Defort in Salem - Psychiatric/mental Health, Adult
Dale Karen Defort - NPI 1164406997
Dale Karen Defort is a Psychiatric/mental Health, Adult in Salem, Massachusetts. Dale Karen Defort practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Dale Karen Defort is 1164406997. The last update date is 2007-07-08.
Dale Karen Defort's current location address is 30 Federal St, Salem, Massachusetts. You can contact this provider via phone number 9787409590 and fax number 9787445486. The mailing address for Dale Karen Defort is 30 Federal St, Salem, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Karen Defort |
|---|---|
| Address | 30 Federal St, Salem, Massachusetts |
| Phone Number | 9787409590 |
| Fax Number | 9787445486 |
| Sole Proprietor | N |
| Credentials | RN CS |
NPI Number Detail
| NPI Number | 1164406997 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30 Federal St |
|---|---|
| City | Salem |
| State | Massachusetts (MA) |
| Post Code | 1970 |
| Phone Number | 9787409590 |
| Fax Number | 9787445486 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | 110410 |
|
Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1898493 | MA | -- |
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What is the unique identification code assigned to Dale Karen Defort by the Centers for Medicare & Medicaid Services?
The Dale Karen Defort has been issued the NPI (National Provider Identifier) 1164406997. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dale Karen Defort's facilities are situated?
The facilities of Dale Karen Defort are physically located at the following address: 30 Federal St, Salem, MA, 1970.
What is Dale Karen Defort's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dale Karen Defort's area of specialization is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this field of practice is 364Sp0809X.
On what date did the Dale Karen Defort receive the assignment of its 1164406997 from the Centers for Medicare & Medicaid Services?
The Dale Karen Defort was issued its 1164406997 by the Centers for Medicare & Medicaid Services on 2005-12-05.
When was the Dale Karen Defort's information last updated?
The Dale Karen Defort's information was last updated on 2007-07-08.