Corwin Boake in Houston - Clinical Neuropsychologist

Corwin Boake - NPI 1942349451

Corwin Boake is a Clinical Neuropsychologist in Houston, Texas. Corwin Boake practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Corwin Boake is 1942349451. The last update date is 2013-03-30.

Corwin Boake's current location address is 1333 Moursund St, Houston, Texas. You can contact this provider via phone number 7137996990 and fax number 7137997049. The mailing address for Corwin Boake is 1333 Moursund St, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Corwin Boake
Address 1333 Moursund St, Houston, Texas
Phone Number 7137996990
Fax Number 7137997049
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1942349451
Provider Enumeration Date 2007-02-05
Last Updated Date 2013-03-30

Provider Mailing Address Detail

Address 1333 Moursund St
City Houston
State Texas (TX)
Post Code 770303405
Phone Number 7137996990
Fax Number 7137997049

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 23147
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
1625642 TX --

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FAQs about Corwin Boake

What is the Corwin Boake's unique identification number?

The Corwin Boake has been assigned the NPI (National Provider Identifier) Number 1942349451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Corwin Boake's facilities are geographically located?

The facilities of Corwin Boake are physically situated at the following location: 1333 Moursund St, Houston, TX, 770303405.

What is Corwin Boake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Corwin Boake is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942349451 to Corwin Boake?

The Centers for Medicare & Medicaid Services assigned the 1942349451 to Corwin Boake on 2007-02-05.

As of what date were the details pertaining to Corwin Boake last refreshed?

The information related to the Corwin Boake, including its address, specialty, and other relevant details, was last updated on 2013-03-30.

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