Beverly W Funderburk in Oklahoma City - Psychologist
Beverly W Funderburk - NPI 1255300315
Beverly W Funderburk is a Psychologist in Oklahoma City, Oklahoma. Beverly W Funderburk practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Beverly W Funderburk is 1255300315. The last update date is 2007-07-08.
Beverly W Funderburk's current location address is 940 Ne 13th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052718858. The mailing address for Beverly W Funderburk is 940 Ne 13th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly W Funderburk |
|---|---|
| Address | 940 Ne 13th St, Oklahoma City, Oklahoma |
| Phone Number | 4052718858 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1255300315 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 940 Ne 13th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731045008 |
| Phone Number | 4052718858 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 729 |
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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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What is the unique identifier code issued to Beverly W Funderburk by the Centers for Medicare & Medicaid Services?
The Beverly W Funderburk has been assigned the NPI (National Provider Identifier) 1255300315. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Beverly W Funderburk is physically located?
The Beverly W Funderburk is physically situated at the following address: 940 Ne 13Th St, Oklahoma City, OK, 731045008.
What is Beverly W Funderburk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Beverly W Funderburk's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When was the Beverly W Funderburk's 1255300315 issued?
The Beverly W Funderburk's 1255300315 was issued on 2006-03-14.
When was the Beverly W Funderburk's information last updated?
The Beverly W Funderburk's information was last updated on 2007-07-08.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL