Barbara Lea Radovanovich in Springfield - Psychologist
Barbara Lea Radovanovich - NPI 1710013511
Barbara Lea Radovanovich is a Psychologist in Springfield, Missouri. Barbara Lea Radovanovich practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Barbara Lea Radovanovich is 1710013511. The last update date is 2007-07-08.
Barbara Lea Radovanovich's current location address is 3850 S National Ave, Springfield, Missouri. You can contact this provider via phone number 4172696891 and fax number 4172695595. The mailing address for Barbara Lea Radovanovich is 3850 S National Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barbara Lea Radovanovich |
|---|---|
| Address | 3850 S National Ave, Springfield, Missouri |
| Phone Number | 4172696891 |
| Fax Number | 4172695595 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1710013511 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3850 S National Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658075287 |
| Phone Number | 4172696891 |
| Fax Number | 4172695595 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | R0427 |
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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 |
|---|---|---|---|
| 132242 | MO | BLUE SHIELD |
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What is the unique 10-digit identification code issued to Barbara Lea Radovanovich by the Centers for Medicare & Medicaid Services?
The Barbara Lea Radovanovich has been assigned the NPI (National Provider Identifier) 1710013511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Barbara Lea Radovanovich?
The Barbara Lea Radovanovich is physically situated at 3850 S National Ave, in the city of Springfield, state of MO, with the postal code 658075287.
What is the Barbara Lea Radovanovich's area of specialization and corresponding taxonomy classification?
The Barbara Lea Radovanovich's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1710013511 to Barbara Lea Radovanovich?
The Centers for Medicare & Medicaid Services assigned the 1710013511 to Barbara Lea Radovanovich on 2007-02-26.
When was the information pertaining to Barbara Lea Radovanovich most recently updated or revised?
The details related to Barbara Lea Radovanovich, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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