Edward Ryan Pense is a Counselor in Madill, Oklahoma. Edward Ryan Pense practices all healthcare services and medical treatments related to Counselor. The NPI Number for Edward Ryan Pense is 1992909147. The last update date is 2007-07-08.
Edward Ryan Pense's current location address is 603 S 1st St, Madill, Oklahoma. You can contact this provider via phone number 5807955564. The mailing address for Edward Ryan Pense is 603 S 1st St, Madill, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Ryan Pense |
|---|---|
| Address | 603 S 1st St, Madill, Oklahoma |
| Phone Number | 5807955564 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.ED., LPC |
NPI Number Detail
| NPI Number | 1992909147 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 603 S 1st St |
|---|---|
| City | Madill |
| State | Oklahoma (OK) |
| Post Code | 734463807 |
| Phone Number | 5807955564 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 3815 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Edward Ryan Pense by the Centers for Medicare & Medicaid Services?
The Edward Ryan Pense has been assigned the NPI (National Provider Identifier) 1992909147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Edward Ryan Pense?
The Edward Ryan Pense is physically situated at 603 S 1St St, in the city of Madill, state of OK, with the postal code 734463807.
What is Edward Ryan Pense's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward Ryan Pense's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Edward Ryan Pense receive its 1992909147 assignment from the Centers for Medicare & Medicaid Services?
The Edward Ryan Pense was assigned its 1992909147 by the Centers for Medicare & Medicaid Services on 2007-06-12.
As of what date were the details pertaining to Edward Ryan Pense last refreshed?
The information related to the Edward Ryan Pense, including its address, specialty, and other relevant details, was last updated on 2007-07-08.