John Ricksecker Brauer in Elmhurst - Clinical
John Ricksecker Brauer - NPI 1376608158
John Ricksecker Brauer is a Clinical in Elmhurst, Illinois. John Ricksecker Brauer practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Ricksecker Brauer is 1376608158. The last update date is 2007-07-08.
John Ricksecker Brauer's current location address is 589b S York St, Elmhurst, Illinois. You can contact this provider via phone number 6304351550. The mailing address for John Ricksecker Brauer is 589b S York St, Elmhurst, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Ricksecker Brauer |
|---|---|
| Address | 589b S York St, Elmhurst, Illinois |
| Phone Number | 6304351550 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1376608158 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 589b S York St |
|---|---|
| City | Elmhurst |
| State | Illinois (IL) |
| Post Code | 601264463 |
| Phone Number | 6304351550 |
| Fax Number |
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 10-digit identifier code assigned to John Ricksecker Brauer by the Centers for Medicare & Medicaid Services?
The John Ricksecker Brauer has been issued the NPI (National Provider Identifier) 1376608158 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Ricksecker Brauer's facilities are situated?
The facilities of John Ricksecker Brauer are physically located at the following address: 589B S York St, Elmhurst, IL, 601264463.
What is John Ricksecker Brauer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Ricksecker Brauer is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376608158 to John Ricksecker Brauer?
The John Ricksecker Brauer received its 1376608158 assignment from the Centers for Medicare & Medicaid Services on 2006-12-22.
When was the information regarding John Ricksecker Brauer most recently updated?
The details pertaining to the John Ricksecker Brauer, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.