Eric K Serdahl is a Clinical in Livermore, California. Eric K Serdahl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eric K Serdahl is 1265469217. The last update date is 2022-07-21.
Eric K Serdahl's current location address is 1797 Fourth St, Livermore, California. You can contact this provider via phone number 9254432500 and fax number 9254430771. The mailing address for Eric K Serdahl is 1797 Fourth St, Livermore, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric K Serdahl |
|---|---|
| Address | 1797 Fourth St, Livermore, California |
| Phone Number | 9254432500 |
| Fax Number | 9254430771 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265469217 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1797 Fourth St |
|---|---|
| City | Livermore |
| State | California (CA) |
| Post Code | 945504347 |
| Phone Number | 9254432500 |
| Fax Number | 9254430771 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17991 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY17991 | CA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the Eric K Serdahl's unique identification number?
The Eric K Serdahl has been assigned the NPI (National Provider Identifier) Number 1265469217 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Eric K Serdahl?
The Eric K Serdahl is physically situated at 1797 Fourth St, in the city of Livermore, state of CA, with the postal code 945504347.
What is Eric K Serdahl's area of expertise and its corresponding taxonomy classification?
The Eric K Serdahl's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Eric K Serdahl receive its 1265469217 assignment from the Centers for Medicare & Medicaid Services?
The Eric K Serdahl was assigned its 1265469217 by the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the information regarding Eric K Serdahl most recently updated?
The details pertaining to the Eric K Serdahl, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.