Elba Healthcare, Llc in Phoenix - Clinical Neuropsychologist
Elba Healthcare, Llc - NPI 1487830758
Elba Healthcare, Llc is a Clinical Neuropsychologist in Phoenix, Arizona. Elba Healthcare, Llc practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Elba Healthcare, Llc is 1487830758. The last update date is 2008-01-16.
Elba Healthcare, Llc's current location address is 1349 E Colter St, Phoenix, Arizona. You can contact this provider via phone number 9282574897 and fax number 8665341701. The mailing address for Elba Healthcare, Llc is 1349 E Colter St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elba Healthcare, Llc |
|---|---|
| Address | 1349 E Colter St, Phoenix, Arizona |
| Phone Number | 9282574897 |
| Fax Number | 8665341701 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bonacci A Carl |
| Credentials | PH.D. |
| Telephone Number | 9282574897 |
NPI Number Detail
| NPI Number | 1487830758 |
|---|---|
| Provider Enumeration Date | 2008-01-16 |
| Last Updated Date | 2008-01-16 |
Provider Mailing Address Detail
| Address | 1349 E Colter St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850143048 |
| Phone Number | 9282574897 |
| Fax Number | 8665341701 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 3376 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 872003 | AZ | -- |
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What is the unique 10-digit identifier code issued to Elba Healthcare, Llc by the Centers for Medicare & Medicaid Services?
The Elba Healthcare, Llc has been assigned the NPI (National Provider Identifier) 1487830758 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Elba Healthcare, Llc located?
The Elba Healthcare, Llc is located at 1349 E Colter St, Phoenix, AZ 850143048.
What is Elba Healthcare, Llc's area of expertise and its corresponding taxonomy classification?
The Elba Healthcare, Llc's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1487830758 to Elba Healthcare, Llc?
The Centers for Medicare & Medicaid Services assigned the 1487830758 to Elba Healthcare, Llc on 2008-01-16.
As of what date were the details pertaining to Elba Healthcare, Llc last refreshed?
The information related to the Elba Healthcare, Llc, including its address, specialty, and other relevant details, was last updated on 2008-01-16.