Cp Kelly Bass is a Clinical in Wailuku, Hawaii. Cp Kelly Bass practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cp Kelly Bass is 1457423352. The last update date is 2012-12-05.
Cp Kelly Bass's current location address is 1129 E Main St, Wailuku, Hawaii. You can contact this provider via phone number 8082427011 and fax number 8082449010. The mailing address for Cp Kelly Bass is 1129 E Main St, Wailuku, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cp Kelly Bass |
|---|---|
| Address | 1129 E Main St, Wailuku, Hawaii |
| Phone Number | 8082427011 |
| Fax Number | 8082449010 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1457423352 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2012-12-05 |
Provider Mailing Address Detail
| Address | 1129 E Main St |
|---|---|
| City | Wailuku |
| State | Hawaii (HI) |
| Post Code | 967932053 |
| Phone Number | 8082427011 |
| Fax Number | 8082449010 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 292 |
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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 |
|---|---|---|---|
| 77 | HI | HMAA | |
| 1542101 | HI | -- | |
| H0000TCBHB | HI | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Cp Kelly Bass by the Centers for Medicare & Medicaid Services?
The Cp Kelly Bass has been assigned the NPI (National Provider Identifier) 1457423352 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Cp Kelly Bass is geographically located?
The Cp Kelly Bass is physically situated at the following location: 1129 E Main St, Wailuku, HI, 967932053.
What is the Cp Kelly Bass's specialty and taxonomy code?
The Cp Kelly Bass's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Cp Kelly Bass receive its 1457423352 assignment from the Centers for Medicare & Medicaid Services?
The Cp Kelly Bass was assigned its 1457423352 on 2006-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Cp Kelly Bass's information last updated?
The Cp Kelly Bass's information was last updated on 2012-12-05.