Keith Kim Irving is a Clinical in Brookline, Massachusetts. Keith Kim Irving practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith Kim Irving is 1316076383. The last update date is 2022-12-30.
Keith Kim Irving's current location address is Po Box 811, Brookline, Massachusetts. You can contact this provider via phone number 6172776324. The mailing address for Keith Kim Irving is Po Box 811, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Kim Irving |
|---|---|
| Address | Po Box 811, Brookline, Massachusetts |
| Phone Number | 6172776324 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1316076383 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2022-12-30 |
Provider Mailing Address Detail
| Address | Po Box 811 |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 24460023 |
| Phone Number | 6172776324 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4360 |
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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 issued to Keith Kim Irving by the Centers for Medicare & Medicaid Services?
The Keith Kim Irving has been assigned the NPI (National Provider Identifier) 1316076383 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Keith Kim Irving is located?
The Keith Kim Irving is situated at the following address: Po Box 811, Brookline, MA, 24460023.
What is Keith Kim Irving's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith Kim Irving is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316076383 to Keith Kim Irving?
The Keith Kim Irving received its 1316076383 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information pertaining to Keith Kim Irving most recently updated or revised?
The details related to Keith Kim Irving, including its address, specialty, and other relevant information, were last updated or revised on 2022-12-30.
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