Joe Bavonese is a Clinical in Royal Oak, Michigan. Joe Bavonese practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joe Bavonese is 1700900529. The last update date is 2023-11-11.
Joe Bavonese's current location address is 27172 Woodward, Royal Oak, Michigan. You can contact this provider via phone number 2485460407 and fax number 2485481925. The mailing address for Joe Bavonese is 27172 Woodward, Royal Oak, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joe Bavonese |
|---|---|
| Address | 27172 Woodward, Royal Oak, Michigan |
| Phone Number | 2485460407 |
| Fax Number | 2485481925 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1700900529 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2023-11-11 |
Provider Mailing Address Detail
| Address | 27172 Woodward |
|---|---|
| City | Royal Oak |
| State | Michigan (MI) |
| Post Code | 480670965 |
| Phone Number | 2485460407 |
| Fax Number | 2485481925 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301007576 |
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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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Post Comment/ Review Below
What is the Joe Bavonese's 1700900529?
The Joe Bavonese's NPI (National Provider Identifier) Number is 1700900529. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Joe Bavonese is physically located?
The Joe Bavonese is physically situated at the following address: 27172 Woodward, Royal Oak, MI, 480670965.
What is the Joe Bavonese's area of specialization and corresponding taxonomy classification?
The Joe Bavonese's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1700900529 to Joe Bavonese?
The Joe Bavonese received its 1700900529 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date were the details related to Joe Bavonese most recently updated or revised?
The information pertaining to Joe Bavonese, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-11.