Sonoma Memory Clinic in Santa Rosa - Clinical Neuropsychologist
Sonoma Memory Clinic - NPI 1487846069
Sonoma Memory Clinic is a Clinical Neuropsychologist in Santa Rosa, California. Sonoma Memory Clinic practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Sonoma Memory Clinic is 1487846069. The last update date is 2007-08-16.
Sonoma Memory Clinic's current location address is 401 S A St, Santa Rosa, California. You can contact this provider via phone number 7075444441. The mailing address for Sonoma Memory Clinic is 401 S A St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sonoma Memory Clinic |
|---|---|
| Address | 401 S A St, Santa Rosa, California |
| Phone Number | 7075444441 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Fraga Michael |
| Credentials | PSYD |
| Telephone Number | 7075444441 |
NPI Number Detail
| NPI Number | 1487846069 |
|---|---|
| Provider Enumeration Date | 2007-08-16 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | 401 S A St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954018518 |
| Phone Number | 7075444441 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Sonoma Memory Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Sonoma Memory Clinic has been assigned the NPI (National Provider Identifier) 1487846069. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Sonoma Memory Clinic is physically located?
The Sonoma Memory Clinic is situated at the following address: 401 S A St, Santa Rosa, CA 954018518.
What is Sonoma Memory Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sonoma Memory Clinic is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did Sonoma Memory Clinic receive its 1487846069 assignment from the Centers for Medicare & Medicaid Services?
The Sonoma Memory Clinic was assigned its 1487846069 on 2007-08-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Sonoma Memory Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sonoma Memory Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-16.
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