Jerry Charles Bakka in Duluth - Clinical
Jerry Charles Bakka - NPI 1891865093
Jerry Charles Bakka is a Clinical in Duluth, Minnesota. Jerry Charles Bakka practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Charles Bakka is 1891865093. The last update date is 2007-07-08.
Jerry Charles Bakka's current location address is 2316 E 1st St, Duluth, Minnesota. You can contact this provider via phone number 2187281162. The mailing address for Jerry Charles Bakka is 2316 E 1st St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Charles Bakka |
|---|---|
| Address | 2316 E 1st St, Duluth, Minnesota |
| Phone Number | 2187281162 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1891865093 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2316 E 1st St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558121807 |
| Phone Number | 2187281162 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY15103 |
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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 unique provider identifier assigned to Jerry Charles Bakka?
The Jerry Charles Bakka has been issued the NPI (National Provider Identifier) 1891865093 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jerry Charles Bakka is geographically located?
The Jerry Charles Bakka is physically situated at the following location: 2316 E 1St St, Duluth, MN, 558121807.
What is Jerry Charles Bakka's area of expertise and its corresponding taxonomy classification?
The Jerry Charles Bakka's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891865093 to Jerry Charles Bakka?
The Centers for Medicare & Medicaid Services originally issued the 1891865093 to Jerry Charles Bakka on 2006-11-08.
As of what date was the information regarding Jerry Charles Bakka, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry Charles Bakka, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.