Dan Whitehead in Imperial Beach - Clinical Neuropsychologist

Dan Whitehead - NPI 1952394033

Dan Whitehead is a Clinical Neuropsychologist in Imperial Beach, California. Dan Whitehead practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Dan Whitehead is 1952394033. The last update date is 2009-04-28.

Dan Whitehead's current location address is Po Box 489, Imperial Beach, California. You can contact this provider via phone number 6195182051 and fax number 6195757500. The mailing address for Dan Whitehead is Po Box 489, Imperial Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dan Whitehead
Address Po Box 489, Imperial Beach, California
Phone Number 6195182051
Fax Number 6195757500
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1952394033
Provider Enumeration Date 2005-08-24
Last Updated Date 2009-04-28

Provider Mailing Address Detail

Address Po Box 489
City Imperial Beach
State California (CA)
Post Code 919330489
Phone Number 6195182051
Fax Number 6195757500

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No PSY13833
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PSY138330 CA --

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FAQs about Dan Whitehead

What is the unique 10-digit identifier code assigned to Dan Whitehead by the Centers for Medicare & Medicaid Services?

The Dan Whitehead has been issued the NPI (National Provider Identifier) 1952394033 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Dan Whitehead?

The Dan Whitehead is situated at Po Box 489, in the city of Imperial Beach, state of CA, with the zip code 919330489.

What is Dan Whitehead's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dan Whitehead is Clinical Neuropsychologist, and the corresponding taxonomy classification code for this specialized field is 103G00000X.

On what date did the Dan Whitehead receive the assignment of its 1952394033 from the Centers for Medicare & Medicaid Services?

The Dan Whitehead was issued its 1952394033 by the Centers for Medicare & Medicaid Services on 2005-08-24.

When was the information pertaining to Dan Whitehead most recently updated or revised?

The details related to Dan Whitehead, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-28.

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