Bradley A Tepaske in Pacific Palisades - Clinical
Bradley A Tepaske - NPI 1891851069
Bradley A Tepaske is a Clinical in Pacific Palisades, California. Bradley A Tepaske practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bradley A Tepaske is 1891851069. The last update date is 2021-12-22.
Bradley A Tepaske's current location address is 16833 Glynn Dr, Pacific Palisades, California. You can contact this provider via phone number 3104598364. The mailing address for Bradley A Tepaske is 16833 Glynn Dr, Pacific Palisades, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley A Tepaske |
|---|---|
| Address | 16833 Glynn Dr, Pacific Palisades, California |
| Phone Number | 3104598364 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1891851069 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 16833 Glynn Dr |
|---|---|
| City | Pacific Palisades |
| State | California (CA) |
| Post Code | 902722260 |
| Phone Number | 3104598364 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY15649 |
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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 identifier code assigned to Bradley A Tepaske by the Centers for Medicare & Medicaid Services?
The Bradley A Tepaske has been issued the NPI (National Provider Identifier) 1891851069 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Bradley A Tepaske is physically located?
The Bradley A Tepaske is situated at the following address: 16833 Glynn Dr, Pacific Palisades, CA 902722260.
What is Bradley A Tepaske's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradley A Tepaske is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When was the Bradley A Tepaske's 1891851069 issued?
The Bradley A Tepaske's 1891851069 was issued on 2006-12-29.
As of what date were the details related to Bradley A Tepaske most recently updated or revised?
The information pertaining to Bradley A Tepaske, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-22.