Mark Douglas Breithaupt in San Jose - Psychologist
Mark Douglas Breithaupt - NPI 1053436337
Mark Douglas Breithaupt is a Psychologist in San Jose, California. Mark Douglas Breithaupt practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mark Douglas Breithaupt is 1053436337. The last update date is 2019-09-09.
Mark Douglas Breithaupt's current location address is Po Box 8396, San Jose, California. You can contact this provider via phone number 4083202747 and fax number 4083202747. The mailing address for Mark Douglas Breithaupt is Po Box 8396, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Douglas Breithaupt |
|---|---|
| Address | Po Box 8396, San Jose, California |
| Phone Number | 4083202747 |
| Fax Number | 4083202747 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1053436337 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2019-09-09 |
Provider Mailing Address Detail
| Address | Po Box 8396 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951558396 |
| Phone Number | 4083202747 |
| Fax Number | 4083202747 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY 499 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A 3812-3 | HI | HMSA | |
| 3451701 | HI | -- |
Post Comment/ Review Below
What is the Mark Douglas Breithaupt's 1053436337?
The Mark Douglas Breithaupt's NPI (National Provider Identifier) Number is 1053436337. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Douglas Breithaupt is located?
The Mark Douglas Breithaupt is situated at the following address: Po Box 8396, San Jose, CA, 951558396.
What is the Mark Douglas Breithaupt's specialty and taxonomy code?
The Mark Douglas Breithaupt's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053436337 to Mark Douglas Breithaupt?
The Centers for Medicare & Medicaid Services assigned the 1053436337 to Mark Douglas Breithaupt on 2007-03-19.
As of what date was the information pertaining to Mark Douglas Breithaupt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Douglas Breithaupt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-09-09.