Kenneth H Bohm in Saint Louis - Clinical

Kenneth H Bohm - NPI 1831296649

Kenneth H Bohm is a Clinical in Saint Louis, Missouri. Kenneth H Bohm practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth H Bohm is 1831296649. The last update date is 2007-07-08.

Kenneth H Bohm's current location address is 8515 Delmar Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3145671044 and fax number 3145671060. The mailing address for Kenneth H Bohm is 8515 Delmar Blvd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth H Bohm
Address 8515 Delmar Blvd, Saint Louis, Missouri
Phone Number 3145671044
Fax Number 3145671060
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1831296649
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8515 Delmar Blvd
City Saint Louis
State Missouri (MO)
Post Code 631242168
Phone Number 3145671044
Fax Number 3145671060

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 17
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
339528 BJC BEHAVIORAL HEALTH

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FAQs about Kenneth H Bohm

What is the unique 10-digit identification code assigned to Kenneth H Bohm by the Centers for Medicare & Medicaid Services?

The Kenneth H Bohm has been issued the NPI (National Provider Identifier) 1831296649, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kenneth H Bohm is physically located?

The Kenneth H Bohm is physically situated at the following address: 8515 Delmar Blvd, Saint Louis, MO, 631242168.

What is the Kenneth H Bohm's area of specialization and corresponding taxonomy classification?

The Kenneth H Bohm's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

When did the Kenneth H Bohm receive its 1831296649?

The Kenneth H Bohm was issued its 1831296649 on 2006-09-20, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Kenneth H Bohm most recently updated or revised?

The information pertaining to Kenneth H Bohm, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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