Jerry L Wyckoff in Overland Park - Psychologist
Jerry L Wyckoff - NPI 1780774190
Jerry L Wyckoff is a Psychologist in Overland Park, Kansas. Jerry L Wyckoff practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jerry L Wyckoff is 1780774190. The last update date is 2008-11-06.
Jerry L Wyckoff's current location address is 7501 College Blvd., Overland Park, Kansas. You can contact this provider via phone number 9134518550 and fax number 9134695266. The mailing address for Jerry L Wyckoff is 7501 College Blvd., Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry L Wyckoff |
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Address | 7501 College Blvd., Overland Park, Kansas |
Phone Number | 9134518550 |
Fax Number | 9134695266 |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1780774190 |
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Provider Enumeration Date | 2006-10-14 |
Last Updated Date | 2008-11-06 |
Provider Mailing Address Detail
Address | 7501 College Blvd. |
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City | Overland Park |
State | Kansas (KS) |
Post Code | 662101944 |
Phone Number | 9134518550 |
Fax Number | 9134695266 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | R0309 |
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 |
---|---|---|---|
18879014 | KS | BCBS KC | |
18879014 | MO | BCBS KC |
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What is the unique 10-digit identifier code assigned to Jerry L Wyckoff by the Centers for Medicare & Medicaid Services?
The Jerry L Wyckoff has been issued the NPI (National Provider Identifier) 1780774190 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jerry L Wyckoff's facilities are geographically located?
The facilities of Jerry L Wyckoff are physically situated at the following location: 7501 College Blvd., Overland Park, KS, 662101944.
What is Jerry L Wyckoff's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry L Wyckoff is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Jerry L Wyckoff receive its 1780774190 assignment from the Centers for Medicare & Medicaid Services?
The Jerry L Wyckoff was assigned its 1780774190 by the Centers for Medicare & Medicaid Services on 2006-10-14.
As of what date were the Jerry L Wyckoff's details last updated?
The information pertaining to the Jerry L Wyckoff, including its address, specialty, and other details, was most recently updated on 2008-11-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY