Sara Goburdhun is a Psychologist in Livonia, Michigan. Sara Goburdhun practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sara Goburdhun is 1447235759. The last update date is 2007-07-08.
Sara Goburdhun's current location address is 14555 Levan Rd, Livonia, Michigan. You can contact this provider via phone number 7349530380. The mailing address for Sara Goburdhun is 14555 Levan Rd, Livonia, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sara Goburdhun |
|---|---|
| Address | 14555 Levan Rd, Livonia, Michigan |
| Phone Number | 7349530380 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1447235759 |
|---|---|
| Provider Enumeration Date | 2005-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14555 Levan Rd |
|---|---|
| City | Livonia |
| State | Michigan (MI) |
| Post Code | 481545083 |
| Phone Number | 7349530380 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301006142 |
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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 |
|---|---|---|---|
| 680H24703 | MI | BLUE CROSS BLUE SHIELD | |
| 6301006142 | MI | MI STATE LICENSE |
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What is the unique identification code assigned to Sara Goburdhun by the Centers for Medicare & Medicaid Services?
The Sara Goburdhun has been issued the NPI (National Provider Identifier) 1447235759. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sara Goburdhun located?
The Sara Goburdhun is located at 14555 Levan Rd, Livonia, MI 481545083.
What is Sara Goburdhun's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sara Goburdhun's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did Sara Goburdhun receive its 1447235759 assignment?
The Sara Goburdhun was assigned its 1447235759 on 2005-12-08, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Sara Goburdhun most recently updated or revised?
The details related to Sara Goburdhun, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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