Bruce Daniel Kobal in Erie - Psychologist
Bruce Daniel Kobal - NPI 1205935889
Bruce Daniel Kobal is a Psychologist in Erie, Pennsylvania. Bruce Daniel Kobal practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bruce Daniel Kobal is 1205935889. The last update date is 2023-04-28.
Bruce Daniel Kobal's current location address is 3939 W Ridge Rd # B47, Erie, Pennsylvania. You can contact this provider via phone number 8149238410 and fax number 8143156044. The mailing address for Bruce Daniel Kobal is 3939 W Ridge Rd # B47, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Daniel Kobal |
|---|---|
| Address | 3939 W Ridge Rd # B47, Erie, Pennsylvania |
| Phone Number | 8149238410 |
| Fax Number | 8143156044 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1205935889 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2023-04-28 |
Provider Mailing Address Detail
| Address | 3939 W Ridge Rd # B47 |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165061879 |
| Phone Number | 8149238410 |
| Fax Number | 8143156044 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS006269L |
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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 |
|---|---|---|---|
| 114436 | PA | VALUEOPTIONS | |
| 505965 | PA | HIMARK BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bruce Daniel Kobal by the Centers for Medicare & Medicaid Services?
The Bruce Daniel Kobal has been issued the NPI (National Provider Identifier) 1205935889, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bruce Daniel Kobal's facilities are situated?
The facilities of Bruce Daniel Kobal are physically located at the following address: 3939 W Ridge Rd # B47, Erie, PA, 165061879.
What is the Bruce Daniel Kobal's area of specialization and corresponding taxonomy classification?
The Bruce Daniel Kobal'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 assign the 1205935889 to Bruce Daniel Kobal?
The Centers for Medicare & Medicaid Services assigned the 1205935889 to Bruce Daniel Kobal on 2006-09-21.
As of what date was the information pertaining to Bruce Daniel Kobal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bruce Daniel Kobal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-04-28.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH