Yudelka Kotjahasan in Springfield - Clinical
Yudelka Kotjahasan - NPI 1639256886
Yudelka Kotjahasan is a Clinical in Springfield, Massachusetts. Yudelka Kotjahasan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Yudelka Kotjahasan is 1639256886. The last update date is 2007-07-08.
Yudelka Kotjahasan's current location address is 223 Emerson St, Springfield, Massachusetts. You can contact this provider via phone number 4138464300 and fax number 4137320429. The mailing address for Yudelka Kotjahasan is 223 Emerson St, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yudelka Kotjahasan |
|---|---|
| Address | 223 Emerson St, Springfield, Massachusetts |
| Phone Number | 4138464300 |
| Fax Number | 4137320429 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1639256886 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 223 Emerson St |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 11181735 |
| Phone Number | 4138464300 |
| Fax Number | 4137320429 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | NONE |
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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 assigned to Yudelka Kotjahasan by the Centers for Medicare & Medicaid Services?
The Yudelka Kotjahasan has been issued the NPI (National Provider Identifier) 1639256886 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Yudelka Kotjahasan?
The Yudelka Kotjahasan is physically situated at 223 Emerson St, in the city of Springfield, state of MA, with the postal code 11181735.
What is Yudelka Kotjahasan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Yudelka Kotjahasan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Yudelka Kotjahasan receive its 1639256886 assignment from the Centers for Medicare & Medicaid Services?
The Yudelka Kotjahasan was assigned its 1639256886 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date was the information regarding Yudelka Kotjahasan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Yudelka Kotjahasan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.