Maria D Korth is a Clinical in Kansas City, Missouri. Maria D Korth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maria D Korth is 1013966415. The last update date is 2015-01-08.
Maria D Korth's current location address is 2401 Gillham Rd, Kansas City, Missouri. You can contact this provider via phone number 8162343674. The mailing address for Maria D Korth is 2401 Gillham Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria D Korth |
|---|---|
| Address | 2401 Gillham Rd, Kansas City, Missouri |
| Phone Number | 8162343674 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1013966415 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2015-01-08 |
Provider Mailing Address Detail
| Address | 2401 Gillham Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641084619 |
| Phone Number | 8162343674 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | R0532 |
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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 |
|---|---|---|---|
| 200375940A | MO | -- |
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What is the unique identification code assigned to Maria D Korth by the Centers for Medicare & Medicaid Services?
The Maria D Korth has been issued the NPI (National Provider Identifier) 1013966415. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Maria D Korth?
The Maria D Korth is situated at 2401 Gillham Rd, in the city of Kansas City, state of MO, with the zip code 641084619.
What is the Maria D Korth's specialty and taxonomy code?
The Maria D Korth's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Maria D Korth receive its 1013966415 assignment from the Centers for Medicare & Medicaid Services?
The Maria D Korth was assigned its 1013966415 on 2006-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Maria D Korth most recently updated or revised?
The information pertaining to Maria D Korth, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-08.