Gordon J Chelune in Salt Lake City - Clinical Neuropsychologist
Gordon J Chelune - NPI 1194800888
Gordon J Chelune is a Clinical Neuropsychologist in Salt Lake City, Utah. Gordon J Chelune practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Gordon J Chelune is 1194800888. The last update date is 2007-07-08.
Gordon J Chelune's current location address is 650 Komas Dr., Ste 106a, Salt Lake City, Utah. You can contact this provider via phone number 8015812121. The mailing address for Gordon J Chelune is 650 Komas Dr., Ste 106a, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gordon J Chelune |
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Address | 650 Komas Dr., Ste 106a, Salt Lake City, Utah |
Phone Number | 8015812121 |
Fax Number | |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1194800888 |
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Provider Enumeration Date | 2006-10-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 650 Komas Dr., Ste 106a |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841081225 |
Phone Number | 8015812121 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | 6126050-2501 |
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 10-digit identification code issued to Gordon J Chelune by the Centers for Medicare & Medicaid Services?
The Gordon J Chelune has been assigned the NPI (National Provider Identifier) 1194800888 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Gordon J Chelune?
The Gordon J Chelune is situated at 650 Komas Dr., Ste 106A, in the city of Salt Lake City, state of UT, with the zip code 841081225.
What is Gordon J Chelune's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gordon J Chelune's area of specialization is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this field of practice is 103G00000X.
On what date did the Gordon J Chelune receive the assignment of its 1194800888 from the Centers for Medicare & Medicaid Services?
The Gordon J Chelune was issued its 1194800888 by the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the information regarding Gordon J Chelune, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gordon J Chelune, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.