Eileen Klitsch is a Psychologist in Southport, North Carolina. Eileen Klitsch practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Eileen Klitsch is 1912987058. The last update date is 2007-07-08.
Eileen Klitsch's current location address is 4734 Long Beach Rd Se, Southport, North Carolina. You can contact this provider via phone number 9104570070 and fax number 9104570062. The mailing address for Eileen Klitsch is 4734 Long Beach Rd Se, Southport, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen Klitsch |
|---|---|
| Address | 4734 Long Beach Rd Se, Southport, North Carolina |
| Phone Number | 9104570070 |
| Fax Number | 9104570062 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1912987058 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4734 Long Beach Rd Se |
|---|---|
| City | Southport |
| State | North Carolina (NC) |
| Post Code | 284618721 |
| Phone Number | 9104570070 |
| Fax Number | 9104570062 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3068 |
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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 |
|---|---|---|---|
| 6000819 | NC | -- | |
| 046UA | NC | BCBSNC |
Post Comment/ Review Below
What is the unique identification code assigned to Eileen Klitsch by the Centers for Medicare & Medicaid Services?
The Eileen Klitsch has been issued the NPI (National Provider Identifier) 1912987058. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eileen Klitsch?
The Eileen Klitsch is situated at 4734 Long Beach Rd Se, in the city of Southport, state of NC, with the zip code 284618721.
What is the Eileen Klitsch's area of specialization and corresponding taxonomy classification?
The Eileen Klitsch'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 issue the 1912987058 to Eileen Klitsch?
The Eileen Klitsch received its 1912987058 assignment from the Centers for Medicare & Medicaid Services on 2006-01-17.
As of what date were the Eileen Klitsch's details last updated?
The information pertaining to the Eileen Klitsch, including its address, specialty, and other details, was most recently updated on 2007-07-08.