Jerry Bokoles is a Clinical in Ventura, California. Jerry Bokoles practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Bokoles is 1891849386. The last update date is 2007-07-08.
Jerry Bokoles's current location address is 260 Maple Ct, Ventura, California. You can contact this provider via phone number 8056586012 and fax number 8056586012. The mailing address for Jerry Bokoles is 260 Maple Ct, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Bokoles |
|---|---|
| Address | 260 Maple Ct, Ventura, California |
| Phone Number | 8056586012 |
| Fax Number | 8056586012 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1891849386 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 260 Maple Ct |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930033516 |
| Phone Number | 8056586012 |
| Fax Number | 8056586012 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 13410 |
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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 Jerry Bokoles by the Centers for Medicare & Medicaid Services?
The Jerry Bokoles has been issued the NPI (National Provider Identifier) 1891849386 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jerry Bokoles's physical address?
The Jerry Bokoles is physically located at 260 Maple Ct, in the city of Ventura, CA, with the postal code 930033516.
What is Jerry Bokoles's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry Bokoles's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Jerry Bokoles receive its 1891849386 assignment?
The Jerry Bokoles was assigned its 1891849386 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Jerry Bokoles's details last updated?
The information pertaining to the Jerry Bokoles, including its address, specialty, and other details, was most recently updated on 2007-07-08.