Kevin Joel Wittenberg in Los Angeles - Clinical
Kevin Joel Wittenberg - NPI 1275613770
Kevin Joel Wittenberg is a Clinical in Los Angeles, California. Kevin Joel Wittenberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Joel Wittenberg is 1275613770. The last update date is 2007-07-08.
Kevin Joel Wittenberg's current location address is 2566 Overland Ave, Los Angeles, California. You can contact this provider via phone number 3107728198 and fax number 3104465489. The mailing address for Kevin Joel Wittenberg is 2566 Overland Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Joel Wittenberg |
|---|---|
| Address | 2566 Overland Ave, Los Angeles, California |
| Phone Number | 3107728198 |
| Fax Number | 3104465489 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1275613770 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2566 Overland Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900643366 |
| Phone Number | 3107728198 |
| Fax Number | 3104465489 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17531 |
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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 Kevin Joel Wittenberg by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin Joel Wittenberg has been assigned the NPI (National Provider Identifier) 1275613770. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kevin Joel Wittenberg is physically located?
The Kevin Joel Wittenberg is physically situated at the following address: 2566 Overland Ave, Los Angeles, CA, 900643366.
What is Kevin Joel Wittenberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Joel Wittenberg's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275613770 to Kevin Joel Wittenberg?
The Centers for Medicare & Medicaid Services originally issued the 1275613770 to Kevin Joel Wittenberg on 2006-10-17.
As of what date were the details pertaining to Kevin Joel Wittenberg last refreshed?
The information related to the Kevin Joel Wittenberg, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL