Marc Alexander Van Enk in Long Beach - Clinical
Marc Alexander Van Enk - NPI 1033150594
Marc Alexander Van Enk is a Clinical in Long Beach, California. Marc Alexander Van Enk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marc Alexander Van Enk is 1033150594. The last update date is 2011-03-04.
Marc Alexander Van Enk's current location address is 3703 Long Beach Blvd, Long Beach, California. You can contact this provider via phone number 5624002233 and fax number 5625958189. The mailing address for Marc Alexander Van Enk is 3703 Long Beach Blvd, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc Alexander Van Enk |
|---|---|
| Address | 3703 Long Beach Blvd, Long Beach, California |
| Phone Number | 5624002233 |
| Fax Number | 5625958189 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1033150594 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2011-03-04 |
Provider Mailing Address Detail
| Address | 3703 Long Beach Blvd |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908073309 |
| Phone Number | 5624002233 |
| Fax Number | 5625958189 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY20449 |
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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 identifier code issued to Marc Alexander Van Enk by the Centers for Medicare & Medicaid Services (CMS)?
The Marc Alexander Van Enk has been assigned the NPI (National Provider Identifier) 1033150594. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Marc Alexander Van Enk's physical address?
The Marc Alexander Van Enk is physically located at 3703 Long Beach Blvd, in the city of Long Beach, CA, with the postal code 908073309.
What is the Marc Alexander Van Enk's area of specialization and corresponding taxonomy classification?
The Marc Alexander Van Enk's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Marc Alexander Van Enk receive the assignment of its 1033150594 from the Centers for Medicare & Medicaid Services?
The Marc Alexander Van Enk was issued its 1033150594 by the Centers for Medicare & Medicaid Services on 2006-06-08.
When was the information regarding Marc Alexander Van Enk most recently updated?
The details pertaining to the Marc Alexander Van Enk, including its address, specialty, and other relevant information, were last refreshed on 2011-03-04.