Kelly A Bushur is a Clinical in Carterville, Illinois. Kelly A Bushur practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly A Bushur is 1629248406. The last update date is 2014-10-23.
Kelly A Bushur's current location address is Po Box 577, Carterville, Illinois. You can contact this provider via phone number 6189858221 and fax number 6189856860. The mailing address for Kelly A Bushur is Po Box 577, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly A Bushur |
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Address | Po Box 577, Carterville, Illinois |
Phone Number | 6189858221 |
Fax Number | 6189856860 |
Sole Proprietor | N |
Credentials | CP PH.D |
NPI Number Detail
NPI Number | 1629248406 |
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Provider Enumeration Date | 2008-03-07 |
Last Updated Date | 2014-10-23 |
Provider Mailing Address Detail
Address | Po Box 577 |
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City | Carterville |
State | Illinois (IL) |
Post Code | 629180577 |
Phone Number | 6189858221 |
Fax Number | 6189856860 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 71005772 |
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 Kelly A Bushur by the Centers for Medicare & Medicaid Services?
The Kelly A Bushur has been assigned the NPI (National Provider Identifier) 1629248406. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly A Bushur located?
The Kelly A Bushur is located at Po Box 577, Carterville, IL 629180577.
What is Kelly A Bushur's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly A Bushur's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Kelly A Bushur receive its 1629248406 assignment from the Centers for Medicare & Medicaid Services?
The Kelly A Bushur was assigned its 1629248406 on 2008-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kelly A Bushur, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly A Bushur, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-10-23.