Brandi Kristen Boan in Sandwich - Clinical
Brandi Kristen Boan - NPI 1780862219
Brandi Kristen Boan is a Clinical in Sandwich, Illinois. Brandi Kristen Boan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brandi Kristen Boan is 1780862219. The last update date is 2020-10-22.
Brandi Kristen Boan's current location address is 417 N Main St, Sandwich, Illinois. You can contact this provider via phone number 6306492819. The mailing address for Brandi Kristen Boan is 417 N Main St, Sandwich, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brandi Kristen Boan |
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Address | 417 N Main St, Sandwich, Illinois |
Phone Number | 6306492819 |
Fax Number | |
Sole Proprietor | N |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1780862219 |
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Provider Enumeration Date | 2008-02-06 |
Last Updated Date | 2020-10-22 |
Provider Mailing Address Detail
Address | 417 N Main St |
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City | Sandwich |
State | Illinois (IL) |
Post Code | 605481569 |
Phone Number | 6306492819 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 71008926 |
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 Brandi Kristen Boan by the Centers for Medicare & Medicaid Services (CMS)?
The Brandi Kristen Boan has been assigned the NPI (National Provider Identifier) 1780862219. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brandi Kristen Boan?
The Brandi Kristen Boan is situated at 417 N Main St, in the city of Sandwich, state of IL, with the zip code 605481569.
What is Brandi Kristen Boan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brandi Kristen Boan is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Brandi Kristen Boan receive its 1780862219?
The Brandi Kristen Boan was issued its 1780862219 on 2008-02-06, which is the date when the organization was assigned this unique identifier.
When was the Brandi Kristen Boan's information last updated?
The Brandi Kristen Boan's information was last updated on 2020-10-22.