Marlene Krupa is a Clinical in Chicago, Illinois. Marlene Krupa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marlene Krupa is 1558455170. The last update date is 2007-07-08.
Marlene Krupa's current location address is 13360 Avenue M, Chicago, Illinois. You can contact this provider via phone number 7736462099. The mailing address for Marlene Krupa is 13360 Avenue M, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene Krupa |
|---|---|
| Address | 13360 Avenue M, Chicago, Illinois |
| Phone Number | 7736462099 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1558455170 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13360 Avenue M |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60633 |
| Phone Number | 7736462099 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006290 |
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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 |
|---|---|---|---|
| 1632081 | IL | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the Marlene Krupa's unique identification number?
The Marlene Krupa has been assigned the NPI (National Provider Identifier) Number 1558455170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Marlene Krupa is geographically located?
The Marlene Krupa is physically situated at the following location: 13360 Avenue M, Chicago, IL, 60633.
What is Marlene Krupa's area of expertise and its corresponding taxonomy classification?
The Marlene Krupa's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Marlene Krupa receive its 1558455170 assignment from the Centers for Medicare & Medicaid Services?
The Marlene Krupa was assigned its 1558455170 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Marlene Krupa's information last updated?
The Marlene Krupa's information was last updated on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA