Bonnie Wagoner Isacke in Pittsburgh - Psychologist
Bonnie Wagoner Isacke - NPI 1841398567
Bonnie Wagoner Isacke is a Psychologist in Pittsburgh, Pennsylvania. Bonnie Wagoner Isacke practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bonnie Wagoner Isacke is 1841398567. The last update date is 2007-07-08.
Bonnie Wagoner Isacke's current location address is 201 Penn Center Blvd, Pittsburgh, Pennsylvania. You can contact this provider via phone number 4124210184 and fax number 4122614276. The mailing address for Bonnie Wagoner Isacke is 201 Penn Center Blvd, Pittsburgh, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Wagoner Isacke |
|---|---|
| Address | 201 Penn Center Blvd, Pittsburgh, Pennsylvania |
| Phone Number | 4124210184 |
| Fax Number | 4122614276 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1841398567 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 201 Penn Center Blvd |
|---|---|
| City | Pittsburgh |
| State | Pennsylvania (PA) |
| Post Code | 152355442 |
| Phone Number | 4124210184 |
| Fax Number | 4122614276 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS006785L |
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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 |
|---|---|---|---|
| 743751 | PA | HIGHMARK BCBS PSYCHOLOGY |
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What is the unique identification code assigned to Bonnie Wagoner Isacke by the Centers for Medicare & Medicaid Services?
The Bonnie Wagoner Isacke has been issued the NPI (National Provider Identifier) 1841398567. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bonnie Wagoner Isacke?
The Bonnie Wagoner Isacke is physically situated at 201 Penn Center Blvd, in the city of Pittsburgh, state of PA, with the postal code 152355442.
What is Bonnie Wagoner Isacke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bonnie Wagoner Isacke's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date was the 1841398567 assigned to Bonnie Wagoner Isacke?
The Bonnie Wagoner Isacke was issued its 1841398567 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bonnie Wagoner Isacke most recently updated?
The details pertaining to the Bonnie Wagoner Isacke, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA