Cheryl Lynn Broneck is a Clinical in Alton, Illinois. Cheryl Lynn Broneck practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cheryl Lynn Broneck is 1992812697. The last update date is 2007-07-08.
Cheryl Lynn Broneck's current location address is Po Box 340, Alton, Illinois. You can contact this provider via phone number 6184746240 and fax number 6184746242. The mailing address for Cheryl Lynn Broneck is Po Box 340, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl Lynn Broneck |
|---|---|
| Address | Po Box 340, Alton, Illinois |
| Phone Number | 6184746240 |
| Fax Number | 6184746242 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1992812697 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 340 |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 620020340 |
| Phone Number | 6184746240 |
| Fax Number | 6184746242 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 identifier code issued to Cheryl Lynn Broneck by the Centers for Medicare & Medicaid Services?
The Cheryl Lynn Broneck has been assigned the NPI (National Provider Identifier) 1992812697. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Cheryl Lynn Broneck is located?
The Cheryl Lynn Broneck is situated at the following address: Po Box 340, Alton, IL, 620020340.
What is Cheryl Lynn Broneck's area of expertise and its corresponding taxonomy classification?
The Cheryl Lynn Broneck's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did Cheryl Lynn Broneck receive its 1992812697 assignment?
The Cheryl Lynn Broneck was assigned its 1992812697 on 2006-08-25, which is the date when this unique identifier was issued to the organization.
As of what date were the Cheryl Lynn Broneck's details last updated?
The information pertaining to the Cheryl Lynn Broneck, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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