Bonita Jean Debban in Oconomowoc - Psychologist
Bonita Jean Debban - NPI 1144274689
Bonita Jean Debban is a Psychologist in Oconomowoc, Wisconsin. Bonita Jean Debban practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bonita Jean Debban is 1144274689. The last update date is 2007-07-08.
Bonita Jean Debban's current location address is 970 S Silver Lake St, Oconomowoc, Wisconsin. You can contact this provider via phone number 2625677900 and fax number 2625677908. The mailing address for Bonita Jean Debban is 970 S Silver Lake St, Oconomowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonita Jean Debban |
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Address | 970 S Silver Lake St, Oconomowoc, Wisconsin |
Phone Number | 2625677900 |
Fax Number | 2625677908 |
Sole Proprietor | X |
Credentials | PH.D |
NPI Number Detail
NPI Number | 1144274689 |
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Provider Enumeration Date | 2006-05-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 970 S Silver Lake St |
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City | Oconomowoc |
State | Wisconsin (WI) |
Post Code | 530663802 |
Phone Number | 2625677900 |
Fax Number | 2625677908 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 2324-057 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
43550000 | WI | -- | |
412024650011 | WI | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Bonita Jean Debban by the Centers for Medicare & Medicaid Services?
The Bonita Jean Debban has been assigned the NPI (National Provider Identifier) 1144274689 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Bonita Jean Debban's physical address?
The Bonita Jean Debban is physically located at 970 S Silver Lake St, in the city of Oconomowoc, WI, with the postal code 530663802.
What is Bonita Jean Debban's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bonita Jean Debban's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144274689 to Bonita Jean Debban?
The Centers for Medicare & Medicaid Services originally issued the 1144274689 to Bonita Jean Debban on 2006-05-20.
When was the information regarding Bonita Jean Debban most recently updated?
The details pertaining to the Bonita Jean Debban, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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