Wayne Andrew Prepura in Libertyville - Psychologist

Wayne Andrew Prepura - NPI 1265623631

Wayne Andrew Prepura is a Psychologist in Libertyville, Illinois. Wayne Andrew Prepura practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Wayne Andrew Prepura is 1265623631. The last update date is 2007-08-09.

Wayne Andrew Prepura's current location address is 501 W Peterson Rd, Libertyville, Illinois. You can contact this provider via phone number 8476803828 and fax number 8476803844. The mailing address for Wayne Andrew Prepura is 501 W Peterson Rd, Libertyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne Andrew Prepura
Address 501 W Peterson Rd, Libertyville, Illinois
Phone Number 8476803828
Fax Number 8476803844
Sole Proprietor N
Credentials PHD COUNSE

NPI Number Detail

NPI Number 1265623631
Provider Enumeration Date 2007-08-09
Last Updated Date 2007-08-09

Provider Mailing Address Detail

Address 501 W Peterson Rd
City Libertyville
State Illinois (IL)
Post Code 60048
Phone Number 8476803828
Fax Number 8476803844

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
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
4923581 IL BLUE CROSS BLUE SHIELD OF

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FAQs about Wayne Andrew Prepura

What is the unique 10-digit identification code assigned to Wayne Andrew Prepura by the Centers for Medicare & Medicaid Services?

The Wayne Andrew Prepura has been issued the NPI (National Provider Identifier) 1265623631, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Wayne Andrew Prepura located?

The Wayne Andrew Prepura is located at 501 W Peterson Rd, Libertyville, IL 60048.

What is Wayne Andrew Prepura's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Wayne Andrew Prepura is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1265623631 to Wayne Andrew Prepura?

The Wayne Andrew Prepura received its 1265623631 assignment from the Centers for Medicare & Medicaid Services on 2007-08-09.

As of what date was the information pertaining to Wayne Andrew Prepura, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Wayne Andrew Prepura, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-09.

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