Erik Dmitri Beaver in Watertown - Psychologist
Erik Dmitri Beaver - NPI 1881679975
Erik Dmitri Beaver is a Psychologist in Watertown, Wisconsin. Erik Dmitri Beaver practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Erik Dmitri Beaver is 1881679975. The last update date is 2010-07-20.
Erik Dmitri Beaver's current location address is 129 Hospital Dr, Watertown, Wisconsin. You can contact this provider via phone number 9202624800 and fax number 9202624813. The mailing address for Erik Dmitri Beaver is 129 Hospital Dr, Watertown, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erik Dmitri Beaver |
|---|---|
| Address | 129 Hospital Dr, Watertown, Wisconsin |
| Phone Number | 9202624800 |
| Fax Number | 9202624813 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1881679975 |
|---|---|
| Provider Enumeration Date | 2005-12-12 |
| Last Updated Date | 2010-07-20 |
Provider Mailing Address Detail
| Address | 129 Hospital Dr |
|---|---|
| City | Watertown |
| State | Wisconsin (WI) |
| Post Code | 530983334 |
| Phone Number | 9202624800 |
| Fax Number | 9202624813 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1882 |
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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 |
|---|---|---|---|
| 39649500 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Erik Dmitri Beaver by the Centers for Medicare & Medicaid Services?
The Erik Dmitri Beaver has been issued the NPI (National Provider Identifier) 1881679975. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Erik Dmitri Beaver is geographically located?
The Erik Dmitri Beaver is physically situated at the following location: 129 Hospital Dr, Watertown, WI, 530983334.
What is the area of specialization for Erik Dmitri Beaver, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Erik Dmitri Beaver is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did Erik Dmitri Beaver receive its 1881679975 assignment from the Centers for Medicare & Medicaid Services?
The Erik Dmitri Beaver was assigned its 1881679975 on 2005-12-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Erik Dmitri Beaver most recently updated?
The details pertaining to the Erik Dmitri Beaver, including its address, specialty, and other relevant information, were last refreshed on 2010-07-20.
NPI Number: 1528061793
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