Gabriel Y El-Hage Boutrou in Canton - Psychologist
Gabriel Y El-Hage Boutrou - NPI 1285690040
Gabriel Y El-Hage Boutrou is a Psychologist in Canton, Ohio. Gabriel Y El-Hage Boutrou practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gabriel Y El-Hage Boutrou is 1285690040. The last update date is 2007-11-02.
Gabriel Y El-Hage Boutrou's current location address is 4565 Dressler Rd Nw, Canton, Ohio. You can contact this provider via phone number 3304919700 and fax number 3304919730. The mailing address for Gabriel Y El-Hage Boutrou is 4565 Dressler Rd Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gabriel Y El-Hage Boutrou |
|---|---|
| Address | 4565 Dressler Rd Nw, Canton, Ohio |
| Phone Number | 3304919700 |
| Fax Number | 3304919730 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1285690040 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 4565 Dressler Rd Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447182549 |
| Phone Number | 3304919700 |
| Fax Number | 3304919730 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3718 |
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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 |
|---|---|---|---|
| 685290 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gabriel Y El-Hage Boutrou by the Centers for Medicare & Medicaid Services?
The Gabriel Y El-Hage Boutrou has been issued the NPI (National Provider Identifier) 1285690040, which 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 Gabriel Y El-Hage Boutrou?
The Gabriel Y El-Hage Boutrou is situated at 4565 Dressler Rd Nw, in the city of Canton, state of OH, with the zip code 447182549.
What is the Gabriel Y El-Hage Boutrou's specialty and taxonomy code?
The Gabriel Y El-Hage Boutrou's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285690040 to Gabriel Y El-Hage Boutrou?
The Centers for Medicare & Medicaid Services originally issued the 1285690040 to Gabriel Y El-Hage Boutrou on 2006-04-21.
When was the information pertaining to Gabriel Y El-Hage Boutrou most recently updated or revised?
The details related to Gabriel Y El-Hage Boutrou, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-02.
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