Brady Evan Clevenger in Joplin - Professional
Brady Evan Clevenger - NPI 1720049471
Brady Evan Clevenger is a Professional in Joplin, Missouri. Brady Evan Clevenger practices all healthcare services and medical treatments related to Professional. The NPI Number for Brady Evan Clevenger is 1720049471. The last update date is 2007-07-08.
Brady Evan Clevenger's current location address is 2914 E 32nd St, Joplin, Missouri. You can contact this provider via phone number 4176248333 and fax number 4176240349. The mailing address for Brady Evan Clevenger is 2914 E 32nd St, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brady Evan Clevenger |
|---|---|
| Address | 2914 E 32nd St, Joplin, Missouri |
| Phone Number | 4176248333 |
| Fax Number | 4176240349 |
| Sole Proprietor | X |
| Credentials | MS PLPC |
NPI Number Detail
| NPI Number | 1720049471 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2914 E 32nd St |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648044402 |
| Phone Number | 4176248333 |
| Fax Number | 4176240349 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2005036369 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the Brady Evan Clevenger's unique identification number?
The Brady Evan Clevenger has been assigned the NPI (National Provider Identifier) Number 1720049471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Brady Evan Clevenger?
The Brady Evan Clevenger is situated at 2914 E 32Nd St, in the city of Joplin, state of MO, with the zip code 648044402.
What is Brady Evan Clevenger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brady Evan Clevenger is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720049471 to Brady Evan Clevenger?
The Centers for Medicare & Medicaid Services assigned the 1720049471 to Brady Evan Clevenger on 2006-03-31.
When was the information pertaining to Brady Evan Clevenger most recently updated or revised?
The details related to Brady Evan Clevenger, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.