Katie Pilgeram Cougevan in Davis - Clinical
Katie Pilgeram Cougevan - NPI 1457528077
Katie Pilgeram Cougevan is a Clinical in Davis, California. Katie Pilgeram Cougevan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Katie Pilgeram Cougevan is 1457528077. The last update date is 2010-07-30.
Katie Pilgeram Cougevan's current location address is 621 4th St Ste 3, Davis, California. You can contact this provider via phone number 5309026057. The mailing address for Katie Pilgeram Cougevan is 621 4th St Ste 3, Davis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katie Pilgeram Cougevan |
|---|---|
| Address | 621 4th St Ste 3, Davis, California |
| Phone Number | 5309026057 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457528077 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2010-07-30 |
Provider Mailing Address Detail
| Address | 621 4th St Ste 3 |
|---|---|
| City | Davis |
| State | California (CA) |
| Post Code | 956164151 |
| Phone Number | 5309026057 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 20085 |
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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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What is the unique 10-digit identification code assigned to Katie Pilgeram Cougevan by the Centers for Medicare & Medicaid Services?
The Katie Pilgeram Cougevan has been issued the NPI (National Provider Identifier) 1457528077, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Katie Pilgeram Cougevan?
The Katie Pilgeram Cougevan is situated at 621 4Th St Ste 3, in the city of Davis, state of CA, with the zip code 956164151.
What is Katie Pilgeram Cougevan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Katie Pilgeram Cougevan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457528077 to Katie Pilgeram Cougevan?
The Katie Pilgeram Cougevan received its 1457528077 assignment from the Centers for Medicare & Medicaid Services on 2008-05-13.
When was the information related to Katie Pilgeram Cougevan most recently updated or refreshed?
The details pertaining to the Katie Pilgeram Cougevan, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-07-30.
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