Sandra L Birdlebough in Prosser - Psychologist
Sandra L Birdlebough - NPI 1578644852
Sandra L Birdlebough is a Psychologist in Prosser, Washington. Sandra L Birdlebough practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sandra L Birdlebough is 1578644852. The last update date is 2009-07-31.
Sandra L Birdlebough's current location address is 250 Loomis Rd, Prosser, Washington. You can contact this provider via phone number 5097880750. The mailing address for Sandra L Birdlebough is 250 Loomis Rd, Prosser, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra L Birdlebough |
|---|---|
| Address | 250 Loomis Rd, Prosser, Washington |
| Phone Number | 5097880750 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD, ARNP |
NPI Number Detail
| NPI Number | 1578644852 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2009-07-31 |
Provider Mailing Address Detail
| Address | 250 Loomis Rd |
|---|---|
| City | Prosser |
| State | Washington (WA) |
| Post Code | 993508822 |
| Phone Number | 5097880750 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY00002504 |
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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 |
|---|---|---|---|
| 9635871 | WA | -- | |
| 195091 | WA | L&I |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sandra L Birdlebough?
The Sandra L Birdlebough has been issued the NPI (National Provider Identifier) 1578644852 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Sandra L Birdlebough is located?
The Sandra L Birdlebough is situated at the following address: 250 Loomis Rd, Prosser, WA, 993508822.
What is Sandra L Birdlebough's area of expertise and its corresponding taxonomy classification?
The Sandra L Birdlebough's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1578644852 to Sandra L Birdlebough?
The Centers for Medicare & Medicaid Services assigned the 1578644852 to Sandra L Birdlebough on 2006-10-17.
As of what date were the details pertaining to Sandra L Birdlebough last refreshed?
The information related to the Sandra L Birdlebough, including its address, specialty, and other relevant details, was last updated on 2009-07-31.