Michelle Bengtson in Roanoke - Clinical Neuropsychologist
Michelle Bengtson - NPI 1457442683
Michelle Bengtson is a Clinical Neuropsychologist in Roanoke, Texas. Michelle Bengtson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Michelle Bengtson is 1457442683. The last update date is 2007-07-08.
Michelle Bengtson's current location address is 425 E Bob Jones Rd, Roanoke, Texas. You can contact this provider via phone number 8174912481. The mailing address for Michelle Bengtson is 425 E Bob Jones Rd, Roanoke, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Bengtson |
|---|---|
| Address | 425 E Bob Jones Rd, Roanoke, Texas |
| Phone Number | 8174912481 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1457442683 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 425 E Bob Jones Rd |
|---|---|
| City | Roanoke |
| State | Texas (TX) |
| Post Code | 762629216 |
| Phone Number | 8174912481 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 30853 |
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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 |
|---|---|---|---|
| 30853 | TX | LICENSE-PSYCHOLOGY |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michelle Bengtson by the Centers for Medicare & Medicaid Services?
The Michelle Bengtson has been issued the NPI (National Provider Identifier) 1457442683, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michelle Bengtson's facilities are geographically located?
The facilities of Michelle Bengtson are physically situated at the following location: 425 E Bob Jones Rd, Roanoke, TX, 762629216.
What is the Michelle Bengtson's area of specialization and corresponding taxonomy classification?
The Michelle Bengtson's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1457442683 to Michelle Bengtson?
The Centers for Medicare & Medicaid Services assigned the 1457442683 to Michelle Bengtson on 2006-09-26.
As of what date were the details related to Michelle Bengtson most recently updated or revised?
The information pertaining to Michelle Bengtson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1336142389
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