Stephen A Koscherak in Bar Harbor - Clinical

Stephen A Koscherak - NPI 1144290941

Stephen A Koscherak is a Clinical in Bar Harbor, Maine. Stephen A Koscherak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen A Koscherak is 1144290941. The last update date is 2013-03-25.

Stephen A Koscherak's current location address is 10 Wayman Ln, Bar Harbor, Maine. You can contact this provider via phone number 2072885081 and fax number 2072888600. The mailing address for Stephen A Koscherak is 10 Wayman Ln, Bar Harbor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen A Koscherak
Address 10 Wayman Ln, Bar Harbor, Maine
Phone Number 2072885081
Fax Number 2072888600
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1144290941
Provider Enumeration Date 2006-01-24
Last Updated Date 2013-03-25

Provider Mailing Address Detail

Address 10 Wayman Ln
City Bar Harbor
State Maine (ME)
Post Code 46091625
Phone Number 2072885081
Fax Number 2072888600

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 42341
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1790764512-009 ME --

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FAQs about Stephen A Koscherak

What is the unique identifier code issued to Stephen A Koscherak by the Centers for Medicare & Medicaid Services (CMS)?

The Stephen A Koscherak has been assigned the NPI (National Provider Identifier) 1144290941. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Stephen A Koscherak's physical address?

The Stephen A Koscherak is physically located at 10 Wayman Ln, in the city of Bar Harbor, ME, with the postal code 46091625.

What is the Stephen A Koscherak's specialty and taxonomy code?

The Stephen A Koscherak's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Stephen A Koscherak receive its 1144290941 assignment from the Centers for Medicare & Medicaid Services?

The Stephen A Koscherak was assigned its 1144290941 by the Centers for Medicare & Medicaid Services on 2006-01-24.

As of what date were the details pertaining to Stephen A Koscherak last refreshed?

The information related to the Stephen A Koscherak, including its address, specialty, and other relevant details, was last updated on 2013-03-25.

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