Kim Deffebach in Melbourne Beach - Psychologist
Kim Deffebach - NPI 1417174368
Kim Deffebach is a Psychologist in Melbourne Beach, Florida. Kim Deffebach practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kim Deffebach is 1417174368. The last update date is 2007-07-08.
Kim Deffebach's current location address is 1101 River Rd, Melbourne Beach, Florida. You can contact this provider via phone number 3212230147. The mailing address for Kim Deffebach is 1101 River Rd, Melbourne Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Deffebach |
|---|---|
| Address | 1101 River Rd, Melbourne Beach, Florida |
| Phone Number | 3212230147 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1417174368 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1101 River Rd |
|---|---|
| City | Melbourne Beach |
| State | Florida (FL) |
| Post Code | 329512533 |
| Phone Number | 3212230147 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY 6195 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kim Deffebach by the Centers for Medicare & Medicaid Services?
The Kim Deffebach has been issued the NPI (National Provider Identifier) 1417174368, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kim Deffebach's physical address?
The Kim Deffebach is physically located at 1101 River Rd, in the city of Melbourne Beach, FL, with the postal code 329512533.
What is the area of specialization for Kim Deffebach, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kim Deffebach is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417174368 to Kim Deffebach?
The Kim Deffebach received its 1417174368 assignment from the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the details pertaining to Kim Deffebach last refreshed?
The information related to the Kim Deffebach, including its address, specialty, and other relevant details, was last updated on 2007-07-08.