Carole R Proebstle in Deer Park - Clinical
Carole R Proebstle - NPI 1518003755
Carole R Proebstle is a Clinical in Deer Park, Illinois. Carole R Proebstle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carole R Proebstle is 1518003755. The last update date is 2007-07-08.
Carole R Proebstle's current location address is 20756 Meadow Ln, Deer Park, Illinois. You can contact this provider via phone number 8473813531 and fax number 8473817886. The mailing address for Carole R Proebstle is 20756 Meadow Ln, Deer Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carole R Proebstle |
|---|---|
| Address | 20756 Meadow Ln, Deer Park, Illinois |
| Phone Number | 8473813531 |
| Fax Number | 8473817886 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1518003755 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20756 Meadow Ln |
|---|---|
| City | Deer Park |
| State | Illinois (IL) |
| Post Code | 600103674 |
| Phone Number | 8473813531 |
| Fax Number | 8473817886 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4920259 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carole R Proebstle by the Centers for Medicare & Medicaid Services?
The Carole R Proebstle has been assigned the NPI (National Provider Identifier) 1518003755 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Carole R Proebstle is located?
The Carole R Proebstle is situated at the following address: 20756 Meadow Ln, Deer Park, IL, 600103674.
What is Carole R Proebstle's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carole R Proebstle's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518003755 to Carole R Proebstle?
The Centers for Medicare & Medicaid Services originally issued the 1518003755 to Carole R Proebstle on 2007-01-29.
When was the information pertaining to Carole R Proebstle most recently updated or revised?
The details related to Carole R Proebstle, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.