Kenton Lee Wertman in Clayton - Psychologist

Kenton Lee Wertman - NPI 1609942721

Kenton Lee Wertman is a Psychologist in Clayton, Missouri. Kenton Lee Wertman practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kenton Lee Wertman is 1609942721. The last update date is 2013-01-16.

Kenton Lee Wertman's current location address is 130 S Bemiston Ave, Clayton, Missouri. You can contact this provider via phone number 3148636161 and fax number 3148636695. The mailing address for Kenton Lee Wertman is 130 S Bemiston Ave, Clayton, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenton Lee Wertman
Address 130 S Bemiston Ave, Clayton, Missouri
Phone Number 3148636161
Fax Number 3148636695
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1609942721
Provider Enumeration Date 2006-11-28
Last Updated Date 2013-01-16

Provider Mailing Address Detail

Address 130 S Bemiston Ave
City Clayton
State Missouri (MO)
Post Code 631051913
Phone Number 3148636161
Fax Number 3148636695

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 1403
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
70720 MO PTAN

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FAQs about Kenton Lee Wertman

What is the unique 10-digit identification code assigned to Kenton Lee Wertman by the Centers for Medicare & Medicaid Services?

The Kenton Lee Wertman has been issued the NPI (National Provider Identifier) 1609942721, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kenton Lee Wertman's physical address?

The Kenton Lee Wertman is physically located at 130 S Bemiston Ave, in the city of Clayton, MO, with the postal code 631051913.

What is Kenton Lee Wertman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenton Lee Wertman is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1609942721 to Kenton Lee Wertman?

The Centers for Medicare & Medicaid Services assigned the 1609942721 to Kenton Lee Wertman on 2006-11-28.

When was the information regarding Kenton Lee Wertman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kenton Lee Wertman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-16.

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