Elli Kimbauer is a Clinical in Crescent City, California. Elli Kimbauer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elli Kimbauer is 1245249523. The last update date is 2007-07-09.
Elli Kimbauer's current location address is 1080 Mason Mall, Crescent City, California. You can contact this provider via phone number 7074647662 and fax number 7074647864. The mailing address for Elli Kimbauer is 1080 Mason Mall, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elli Kimbauer |
|---|---|
| Address | 1080 Mason Mall, Crescent City, California |
| Phone Number | 7074647662 |
| Fax Number | 7074647864 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1245249523 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1080 Mason Mall |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955314334 |
| Phone Number | 7074647662 |
| Fax Number | 7074647864 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 18816 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Elli Kimbauer by the Centers for Medicare & Medicaid Services (CMS)?
The Elli Kimbauer has been assigned the NPI (National Provider Identifier) 1245249523. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Elli Kimbauer's physical address?
The Elli Kimbauer is physically located at 1080 Mason Mall, in the city of Crescent City, CA, with the postal code 955314334.
What is the area of specialization for Elli Kimbauer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elli Kimbauer is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1245249523 assigned to Elli Kimbauer?
The Elli Kimbauer was issued its 1245249523 on 2006-08-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Elli Kimbauer's information last updated?
The Elli Kimbauer's information was last updated on 2007-07-09.