Katherine Versenyi Wild in Portland - Psychologist
Katherine Versenyi Wild - NPI 1477569929
Katherine Versenyi Wild is a Psychologist in Portland, Oregon. Katherine Versenyi Wild practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Katherine Versenyi Wild is 1477569929. The last update date is 2010-03-22.
Katherine Versenyi Wild's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034947772. The mailing address for Katherine Versenyi Wild is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Versenyi Wild |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034947772 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1477569929 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2010-03-22 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034947772 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1058 |
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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 |
|---|---|---|---|
| 117965 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Katherine Versenyi Wild by the Centers for Medicare & Medicaid Services?
The Katherine Versenyi Wild has been assigned the NPI (National Provider Identifier) 1477569929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Katherine Versenyi Wild is physically located?
The Katherine Versenyi Wild is situated at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011.
What is Katherine Versenyi Wild's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Katherine Versenyi Wild is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date was the 1477569929 assigned to Katherine Versenyi Wild?
The Katherine Versenyi Wild was issued its 1477569929 on 2006-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Katherine Versenyi Wild's details last updated?
The information pertaining to the Katherine Versenyi Wild, including its address, specialty, and other details, was most recently updated on 2010-03-22.