Bonita P Klein-Tasman in Milwaukee - Clinical Neuropsychologist

Bonita P Klein-Tasman - NPI 1821201930

Bonita P Klein-Tasman is a Clinical Neuropsychologist in Milwaukee, Wisconsin. Bonita P Klein-Tasman practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Bonita P Klein-Tasman is 1821201930. The last update date is 2007-07-08.

Bonita P Klein-Tasman's current location address is 2001 E Newberry Blvd, Milwaukee, Wisconsin. You can contact this provider via phone number 4149629612 and fax number 4142295219. The mailing address for Bonita P Klein-Tasman is 2001 E Newberry Blvd, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonita P Klein-Tasman
Address 2001 E Newberry Blvd, Milwaukee, Wisconsin
Phone Number 4149629612
Fax Number 4142295219
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1821201930
Provider Enumeration Date 2007-05-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2001 E Newberry Blvd
City Milwaukee
State Wisconsin (WI)
Post Code 532113651
Phone Number 4149629612
Fax Number 4142295219

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 2368-057
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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FAQs about Bonita P Klein-Tasman

What is the unique 10-digit identification code issued to Bonita P Klein-Tasman by the Centers for Medicare & Medicaid Services?

The Bonita P Klein-Tasman has been assigned the NPI (National Provider Identifier) 1821201930 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 Bonita P Klein-Tasman?

The Bonita P Klein-Tasman is situated at 2001 E Newberry Blvd, in the city of Milwaukee, state of WI, with the zip code 532113651.

What is Bonita P Klein-Tasman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bonita P Klein-Tasman is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date did the Bonita P Klein-Tasman receive the assignment of its 1821201930 from the Centers for Medicare & Medicaid Services?

The Bonita P Klein-Tasman was issued its 1821201930 by the Centers for Medicare & Medicaid Services on 2007-05-07.

As of what date were the details related to Bonita P Klein-Tasman most recently updated or revised?

The information pertaining to Bonita P Klein-Tasman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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