Julie Bussman is a Clinical in Mad River, California. Julie Bussman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie Bussman is 1174702682. The last update date is 2014-06-17.
Julie Bussman's current location address is Po Box 211, Mad River, California. You can contact this provider via phone number 7076019268. The mailing address for Julie Bussman is Po Box 211, Mad River, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Bussman |
|---|---|
| Address | Po Box 211, Mad River, California |
| Phone Number | 7076019268 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1174702682 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2014-06-17 |
Provider Mailing Address Detail
| Address | Po Box 211 |
|---|---|
| City | Mad River |
| State | California (CA) |
| Post Code | 955520211 |
| Phone Number | 7076019268 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3992 |
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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 |
|---|---|---|---|
| Z125623 | AZ | MEDICARE PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Julie Bussman by the Centers for Medicare & Medicaid Services?
The Julie Bussman has been assigned the NPI (National Provider Identifier) 1174702682. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Julie Bussman is physically located?
The Julie Bussman is situated at the following address: Po Box 211, Mad River, CA 955520211.
What is Julie Bussman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Julie Bussman's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did Julie Bussman receive its 1174702682 assignment?
The Julie Bussman was assigned its 1174702682 on 2007-10-31, which is the date when this unique identifier was issued to the organization.
When was the information related to Julie Bussman most recently updated or refreshed?
The details pertaining to the Julie Bussman, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-06-17.