Randall Wade Krupsaw in Indianapolis - Clinical

Randall Wade Krupsaw - NPI 1851567804

Randall Wade Krupsaw is a Clinical in Indianapolis, Indiana. Randall Wade Krupsaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randall Wade Krupsaw is 1851567804. The last update date is 2008-04-30.

Randall Wade Krupsaw's current location address is 8945 N Meridian St, Indianapolis, Indiana. You can contact this provider via phone number 3178165600 and fax number 3178155975. The mailing address for Randall Wade Krupsaw is 8945 N Meridian St, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall Wade Krupsaw
Address 8945 N Meridian St, Indianapolis, Indiana
Phone Number 3178165600
Fax Number 3178155975
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1851567804
Provider Enumeration Date 2008-04-30
Last Updated Date 2008-04-30

Provider Mailing Address Detail

Address 8945 N Meridian St
City Indianapolis
State Indiana (IN)
Post Code 462605387
Phone Number 3178165600
Fax Number 3178155975

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 20040117A
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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FAQs about Randall Wade Krupsaw

What is the unique identifier code issued to Randall Wade Krupsaw by the Centers for Medicare & Medicaid Services?

The Randall Wade Krupsaw has been assigned the NPI (National Provider Identifier) 1851567804. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Randall Wade Krupsaw's facilities are situated?

The facilities of Randall Wade Krupsaw are physically located at the following address: 8945 N Meridian St, Indianapolis, IN, 462605387.

What is Randall Wade Krupsaw's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Randall Wade Krupsaw is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did Randall Wade Krupsaw receive its 1851567804 assignment from the Centers for Medicare & Medicaid Services?

The Randall Wade Krupsaw was assigned its 1851567804 on 2008-04-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Randall Wade Krupsaw, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Randall Wade Krupsaw, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-30.

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