Kelly S Earnst in Lafayette - Clinical Neuropsychologist
Kelly S Earnst - NPI 1104900489
Kelly S Earnst is a Clinical Neuropsychologist in Lafayette, Indiana. Kelly S Earnst practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Kelly S Earnst is 1104900489. The last update date is 2022-06-27.
Kelly S Earnst's current location address is 1415 Salem St, Lafayette, Indiana. You can contact this provider via phone number 7657421816 and fax number 7657422557. The mailing address for Kelly S Earnst is 1415 Salem St, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly S Earnst |
|---|---|
| Address | 1415 Salem St, Lafayette, Indiana |
| Phone Number | 7657421816 |
| Fax Number | 7657422557 |
| Sole Proprietor | N |
| Credentials | PH.D, HSPP |
NPI Number Detail
| NPI Number | 1104900489 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2022-06-27 |
Provider Mailing Address Detail
| Address | 1415 Salem St |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479044100 |
| Phone Number | 7657421816 |
| Fax Number | 7657422557 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 20041614A |
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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 |
|---|---|---|---|
| 200283610A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly S Earnst by the Centers for Medicare & Medicaid Services?
The Kelly S Earnst has been assigned the NPI (National Provider Identifier) 1104900489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kelly S Earnst's facilities are situated?
The facilities of Kelly S Earnst are physically located at the following address: 1415 Salem St, Lafayette, IN, 479044100.
What is Kelly S Earnst's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly S Earnst's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
When did Kelly S Earnst receive its 1104900489 assignment?
The Kelly S Earnst was assigned its 1104900489 on 2006-10-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kelly S Earnst most recently updated or revised?
The information pertaining to Kelly S Earnst, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-27.