Keith V Bjorge Psyd Pc in Lake Zurich - Clinical
Keith V Bjorge Psyd Pc - NPI 1790854636
Keith V Bjorge Psyd Pc is a Clinical in Lake Zurich, Illinois. Keith V Bjorge Psyd Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith V Bjorge Psyd Pc is 1790854636. The last update date is 2011-11-10.
Keith V Bjorge Psyd Pc's current location address is 61 S Old Rand Rd, Lake Zurich, Illinois. You can contact this provider via phone number 8155784222 and fax number 8474380844. The mailing address for Keith V Bjorge Psyd Pc is 61 S Old Rand Rd, Lake Zurich, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keith V Bjorge Psyd Pc |
|---|---|
| Address | 61 S Old Rand Rd, Lake Zurich, Illinois |
| Phone Number | 8155784222 |
| Fax Number | 8474380844 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Bjorge V Keith |
| Credentials | PSYD |
| Telephone Number | 8155784222 |
NPI Number Detail
| NPI Number | 1790854636 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2011-11-10 |
Provider Mailing Address Detail
| Address | 61 S Old Rand Rd |
|---|---|
| City | Lake Zurich |
| State | Illinois (IL) |
| Post Code | 600473127 |
| Phone Number | 8155784222 |
| Fax Number | 8474380844 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71005483 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Keith V Bjorge Psyd Pc by the Centers for Medicare & Medicaid Services?
The Keith V Bjorge Psyd Pc has been issued the NPI (National Provider Identifier) 1790854636 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Keith V Bjorge Psyd Pc's facilities are geographically located?
The facilities of Keith V Bjorge Psyd Pc are physically situated at the following location: 61 S Old Rand Rd, Lake Zurich, IL, 600473127.
What is Keith V Bjorge Psyd Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keith V Bjorge Psyd Pc is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Keith V Bjorge Psyd Pc receive its 1790854636 assignment from the Centers for Medicare & Medicaid Services?
The Keith V Bjorge Psyd Pc was assigned its 1790854636 by the Centers for Medicare & Medicaid Services on 2006-11-07.
As of what date was the information regarding Keith V Bjorge Psyd Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith V Bjorge Psyd Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-10.
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