Michael R Wilbourn in Colorado Springs - Clinical
Michael R Wilbourn - NPI 1508980152
Michael R Wilbourn is a Clinical in Colorado Springs, Colorado. Michael R Wilbourn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael R Wilbourn is 1508980152. The last update date is 2007-07-08.
Michael R Wilbourn's current location address is 3055 Austin Bluffs Pkwy, Colorado Springs, Colorado. You can contact this provider via phone number 7195978990 and fax number 7195973608. The mailing address for Michael R Wilbourn is 3055 Austin Bluffs Pkwy, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael R Wilbourn |
|---|---|
| Address | 3055 Austin Bluffs Pkwy, Colorado Springs, Colorado |
| Phone Number | 7195978990 |
| Fax Number | 7195973608 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1508980152 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3055 Austin Bluffs Pkwy |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809185748 |
| Phone Number | 7195978990 |
| Fax Number | 7195973608 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1442 |
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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 issued to Michael R Wilbourn by the Centers for Medicare & Medicaid Services?
The Michael R Wilbourn has been assigned the NPI (National Provider Identifier) 1508980152 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Michael R Wilbourn?
The Michael R Wilbourn is physically situated at 3055 Austin Bluffs Pkwy, in the city of Colorado Springs, state of CO, with the postal code 809185748.
What is the Michael R Wilbourn's specialty and taxonomy code?
The Michael R Wilbourn's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Michael R Wilbourn receive its 1508980152 assignment from the Centers for Medicare & Medicaid Services?
The Michael R Wilbourn was assigned its 1508980152 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Michael R Wilbourn last refreshed?
The information related to the Michael R Wilbourn, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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