Wilhelmina Siny Koedam in North Miami Beach - Clinical
Wilhelmina Siny Koedam - NPI 1023110863
Wilhelmina Siny Koedam is a Clinical in North Miami Beach, Florida. Wilhelmina Siny Koedam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wilhelmina Siny Koedam is 1023110863. The last update date is 2007-07-08.
Wilhelmina Siny Koedam's current location address is 1011 Ives Dairy Rd, North Miami Beach, Florida. You can contact this provider via phone number 3056530098 and fax number 3056544412. The mailing address for Wilhelmina Siny Koedam is 1011 Ives Dairy Rd, North Miami Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wilhelmina Siny Koedam |
|---|---|
| Address | 1011 Ives Dairy Rd, North Miami Beach, Florida |
| Phone Number | 3056530098 |
| Fax Number | 3056544412 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1023110863 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1011 Ives Dairy Rd |
|---|---|
| City | North Miami Beach |
| State | Florida (FL) |
| Post Code | 331792536 |
| Phone Number | 3056530098 |
| Fax Number | 3056544412 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0003507 |
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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 Wilhelmina Siny Koedam's unique identification number?
The Wilhelmina Siny Koedam has been assigned the NPI (National Provider Identifier) Number 1023110863 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Wilhelmina Siny Koedam?
The Wilhelmina Siny Koedam is situated at 1011 Ives Dairy Rd, in the city of North Miami Beach, state of FL, with the zip code 331792536.
What is Wilhelmina Siny Koedam'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 Wilhelmina Siny Koedam is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did Wilhelmina Siny Koedam receive its 1023110863 assignment?
The Wilhelmina Siny Koedam was assigned its 1023110863 on 2006-09-02, which is the date when this unique identifier was issued to the organization.
As of what date were the Wilhelmina Siny Koedam's details last updated?
The information pertaining to the Wilhelmina Siny Koedam, including its address, specialty, and other details, was most recently updated on 2007-07-08.