Lewis Bernard Klebanoff in Dennis - Clinical
Lewis Bernard Klebanoff - NPI 1972510295
Lewis Bernard Klebanoff is a Clinical in Dennis, Massachusetts. Lewis Bernard Klebanoff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lewis Bernard Klebanoff is 1972510295. The last update date is 2007-07-08.
Lewis Bernard Klebanoff's current location address is 32 Simmons Pond Rd W, Dennis, Massachusetts. You can contact this provider via phone number 5083856813 and fax number 5083856813. The mailing address for Lewis Bernard Klebanoff is 32 Simmons Pond Rd W, Dennis, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lewis Bernard Klebanoff |
|---|---|
| Address | 32 Simmons Pond Rd W, Dennis, Massachusetts |
| Phone Number | 5083856813 |
| Fax Number | 5083856813 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1972510295 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 32 Simmons Pond Rd W |
|---|---|
| City | Dennis |
| State | Massachusetts (MA) |
| Post Code | 26382541 |
| Phone Number | 5083856813 |
| Fax Number | 5083856813 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 675 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W01777 | MA | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lewis Bernard Klebanoff?
The Lewis Bernard Klebanoff has been issued the NPI (National Provider Identifier) 1972510295 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Lewis Bernard Klebanoff located?
The Lewis Bernard Klebanoff is located at 32 Simmons Pond Rd W, Dennis, MA 26382541.
What is Lewis Bernard Klebanoff's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lewis Bernard Klebanoff's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did Lewis Bernard Klebanoff receive its 1972510295 assignment?
The Lewis Bernard Klebanoff was assigned its 1972510295 on 2006-08-01, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Lewis Bernard Klebanoff, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lewis Bernard Klebanoff, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.