Judith A Kellenberger in Joplin - Psychologist
Judith A Kellenberger - NPI 1619937414
Judith A Kellenberger is a Psychologist in Joplin, Missouri. Judith A Kellenberger practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Judith A Kellenberger is 1619937414. The last update date is 2014-07-15.
Judith A Kellenberger's current location address is 1230 N Duquesne Rd, Joplin, Missouri. You can contact this provider via phone number 4177821443. The mailing address for Judith A Kellenberger is 1230 N Duquesne Rd, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith A Kellenberger |
|---|---|
| Address | 1230 N Duquesne Rd, Joplin, Missouri |
| Phone Number | 4177821443 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619937414 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2014-07-15 |
Provider Mailing Address Detail
| Address | 1230 N Duquesne Rd |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648011509 |
| Phone Number | 4177821443 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1618 |
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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 |
|---|---|---|---|
| 496912734 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Judith A Kellenberger by the Centers for Medicare & Medicaid Services (CMS)?
The Judith A Kellenberger has been assigned the NPI (National Provider Identifier) 1619937414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Judith A Kellenberger is located?
The Judith A Kellenberger is situated at the following address: 1230 N Duquesne Rd, Joplin, MO, 648011509.
What is Judith A Kellenberger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judith A Kellenberger is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
When was the Judith A Kellenberger's 1619937414 issued?
The Judith A Kellenberger's 1619937414 was issued on 2006-03-24.
As of what date were the Judith A Kellenberger's details last updated?
The information pertaining to the Judith A Kellenberger, including its address, specialty, and other details, was most recently updated on 2014-07-15.