Ellen Sheila Krantz in Corte Madera - Clinical Neuropsychologist
Ellen Sheila Krantz - NPI 1265640452
Ellen Sheila Krantz is a Clinical Neuropsychologist in Corte Madera, California. Ellen Sheila Krantz practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Ellen Sheila Krantz is 1265640452. The last update date is 2007-07-08.
Ellen Sheila Krantz's current location address is 100 Tamal Plz, Corte Madera, California. You can contact this provider via phone number 4159273800 and fax number 4159273809. The mailing address for Ellen Sheila Krantz is 100 Tamal Plz, Corte Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Sheila Krantz |
|---|---|
| Address | 100 Tamal Plz, Corte Madera, California |
| Phone Number | 4159273800 |
| Fax Number | 4159273809 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265640452 |
|---|---|
| Provider Enumeration Date | 2007-05-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Tamal Plz |
|---|---|
| City | Corte Madera |
| State | California (CA) |
| Post Code | 949251125 |
| Phone Number | 4159273800 |
| Fax Number | 4159273809 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY 16681 |
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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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What is the unique identification code assigned to Ellen Sheila Krantz by the Centers for Medicare & Medicaid Services?
The Ellen Sheila Krantz has been issued the NPI (National Provider Identifier) 1265640452. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ellen Sheila Krantz located?
The Ellen Sheila Krantz is located at 100 Tamal Plz, Corte Madera, CA 949251125.
What is the Ellen Sheila Krantz's specialty and taxonomy code?
The Ellen Sheila Krantz's specialty is Clinical Neuropsychologist, and the corresponding taxonomy code is 103G00000X.
When was the Ellen Sheila Krantz's 1265640452 issued?
The Ellen Sheila Krantz's 1265640452 was issued on 2007-05-19.
As of what date were the details related to Ellen Sheila Krantz most recently updated or revised?
The information pertaining to Ellen Sheila Krantz, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.