MODESTO JESUS HEVIA I


Address: 23 Rockmont Rd, Arlington, MA 02474-2928
Phone: 6176057455

MODESTO JESUS HEVIA I (NPI# 1336500354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336500354
Entity Type Individual
Full Name MODESTO JESUS HEVIA I
Credential PSY.D.
Practice Address 23 Rockmont Rd
Arlington
MA 02474-2928
Practice Telephone 6176057455
Mailing Telephone 6176057455
Enumeration Date 2016-03-18
Last Update Date 2016-03-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6924 MA Behavioral Health & Social Service Providers

Office Location

Street Address 23 ROCKMONT RD
City ARLINGTON
State MA
Zip Code 02474-2928

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City ARLINGTON
Zip Code 02474

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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