Brandi Kristen Boan in Sandwich - Clinical Neuropsychologist
Brandi Kristen Boan - NPI 1780862219
Brandi Kristen Boan is a Clinical Neuropsychologist in Sandwich, Illinois. Brandi Kristen Boan practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Brandi Kristen Boan is 1780862219. The last update date is 2020-10-22.
Brandi Kristen Boan's current location address is 417 N Main St, Sandwich, Illinois. You can contact this provider via phone number 6306492819. The mailing address for Brandi Kristen Boan is 417 N Main St, Sandwich, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandi Kristen Boan |
|---|---|
| Address | 417 N Main St, Sandwich, Illinois |
| Phone Number | 6306492819 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1780862219 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2020-10-22 |
Provider Mailing Address Detail
| Address | 417 N Main St |
|---|---|
| City | Sandwich |
| State | Illinois (IL) |
| Post Code | 605481569 |
| Phone Number | 6306492819 |
| 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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What is the unique identifier code issued to Brandi Kristen Boan by the Centers for Medicare & Medicaid Services (CMS)?
The Brandi Kristen Boan has been assigned the NPI (National Provider Identifier) 1780862219. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brandi Kristen Boan?
The Brandi Kristen Boan is situated at 417 N Main St, in the city of Sandwich, state of IL, with the zip code 605481569.
What is Brandi Kristen Boan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brandi Kristen Boan is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
When did the Brandi Kristen Boan receive its 1780862219?
The Brandi Kristen Boan was issued its 1780862219 on 2008-02-06, which is the date when the organization was assigned this unique identifier.
When was the Brandi Kristen Boan's information last updated?
The Brandi Kristen Boan's information was last updated on 2020-10-22.