Joan Ellen Bender in Springfield - Psychologist
Joan Ellen Bender - NPI 1861581076
Joan Ellen Bender is a Psychologist in Springfield, Missouri. Joan Ellen Bender practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Joan Ellen Bender is 1861581076. The last update date is 2007-07-08.
Joan Ellen Bender's current location address is 309 N Jefferson Ave, Springfield, Missouri. You can contact this provider via phone number 4178620021 and fax number 4178620021. The mailing address for Joan Ellen Bender is 309 N Jefferson Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Ellen Bender |
|---|---|
| Address | 309 N Jefferson Ave, Springfield, Missouri |
| Phone Number | 4178620021 |
| Fax Number | 4178620021 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1861581076 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 309 N Jefferson Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658061108 |
| Phone Number | 4178620021 |
| Fax Number | 4178620021 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1160 |
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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 |
|---|---|---|---|
| 496957903 | MO | -- |
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What is the unique 10-digit identifier code issued to Joan Ellen Bender by the Centers for Medicare & Medicaid Services?
The Joan Ellen Bender has been assigned the NPI (National Provider Identifier) 1861581076 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Joan Ellen Bender located?
The Joan Ellen Bender is located at 309 N Jefferson Ave, Springfield, MO 658061108.
What is Joan Ellen Bender's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joan Ellen Bender is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861581076 to Joan Ellen Bender?
The Joan Ellen Bender received its 1861581076 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date were the details pertaining to Joan Ellen Bender last refreshed?
The information related to the Joan Ellen Bender, including its address, specialty, and other relevant details, was last updated on 2007-07-08.