Mark A. Fridovich in Kailua - Psychologist
Mark A. Fridovich - NPI 1629139837
Mark A. Fridovich is a Psychologist in Kailua, Hawaii. Mark A. Fridovich practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mark A. Fridovich is 1629139837. The last update date is 2007-07-08.
Mark A. Fridovich's current location address is 14 Aulike St, Kailua, Hawaii. You can contact this provider via phone number 8082368237. The mailing address for Mark A. Fridovich is 14 Aulike St, Kailua, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A. Fridovich |
|---|---|
| Address | 14 Aulike St, Kailua, Hawaii |
| Phone Number | 8082368237 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1629139837 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14 Aulike St |
|---|---|
| City | Kailua |
| State | Hawaii (HI) |
| Post Code | 967342740 |
| Phone Number | 8082368237 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2775 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2775 | MA | PSYCHOLOGIST |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark A. Fridovich by the Centers for Medicare & Medicaid Services?
The Mark A. Fridovich has been assigned the NPI (National Provider Identifier) 1629139837 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mark A. Fridovich's facilities are geographically located?
The facilities of Mark A. Fridovich are physically situated at the following location: 14 Aulike St, Kailua, HI, 967342740.
What is the area of specialization for Mark A. Fridovich, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark A. Fridovich 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 assign the 1629139837 to Mark A. Fridovich?
The Centers for Medicare & Medicaid Services assigned the 1629139837 to Mark A. Fridovich on 2006-12-12.
As of what date were the details related to Mark A. Fridovich most recently updated or revised?
The information pertaining to Mark A. Fridovich, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA