Corby Alan Bubp in Indianapolis - Clinical Neuropsychologist
Corby Alan Bubp - NPI 1134136229
Corby Alan Bubp is a Clinical Neuropsychologist in Indianapolis, Indiana. Corby Alan Bubp practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Corby Alan Bubp is 1134136229. The last update date is 2019-12-09.
Corby Alan Bubp's current location address is 10291 N Meridian St, Indianapolis, Indiana. You can contact this provider via phone number 3175812288 and fax number 3175812295. The mailing address for Corby Alan Bubp is 10291 N Meridian St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corby Alan Bubp |
|---|---|
| Address | 10291 N Meridian St, Indianapolis, Indiana |
| Phone Number | 3175812288 |
| Fax Number | 3175812295 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134136229 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2019-12-09 |
Provider Mailing Address Detail
| Address | 10291 N Meridian St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462901083 |
| Phone Number | 3175812288 |
| Fax Number | 3175812295 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 20042024 |
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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 |
|---|---|---|---|
| 200504340 | IN | -- |
Post Comment/ Review Below
What is the Corby Alan Bubp's unique identification number?
The Corby Alan Bubp has been assigned the NPI (National Provider Identifier) Number 1134136229 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Corby Alan Bubp's facilities are situated?
The facilities of Corby Alan Bubp are physically located at the following address: 10291 N Meridian St, Indianapolis, IN, 462901083.
What is Corby Alan Bubp's area of expertise and its corresponding taxonomy classification?
The Corby Alan Bubp's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.
When did Corby Alan Bubp receive its 1134136229 assignment?
The Corby Alan Bubp was assigned its 1134136229 on 2006-08-02, which is the date when this unique identifier was issued to the organization.
As of what date were the Corby Alan Bubp's details last updated?
The information pertaining to the Corby Alan Bubp, including its address, specialty, and other details, was most recently updated on 2019-12-09.