John Richard Klindienst in Riverhead - Clinical
John Richard Klindienst - NPI 1952466682
John Richard Klindienst is a Clinical in Riverhead, New York. John Richard Klindienst practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Richard Klindienst is 1952466682. The last update date is 2007-07-08.
John Richard Klindienst's current location address is 223 Roanoke Ave, Riverhead, New York. You can contact this provider via phone number 6317271563 and fax number 6313699423. The mailing address for John Richard Klindienst is 223 Roanoke Ave, Riverhead, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Richard Klindienst |
|---|---|
| Address | 223 Roanoke Ave, Riverhead, New York |
| Phone Number | 6317271563 |
| Fax Number | 6313699423 |
| Sole Proprietor | Y |
| Credentials | PH. D |
NPI Number Detail
| NPI Number | 1952466682 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 223 Roanoke Ave |
|---|---|
| City | Riverhead |
| State | New York (NY) |
| Post Code | 119012778 |
| Phone Number | 6317271563 |
| Fax Number | 6313699423 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7012 |
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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 provider identifier assigned to John Richard Klindienst?
The John Richard Klindienst has been issued the NPI (National Provider Identifier) 1952466682 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of John Richard Klindienst?
The John Richard Klindienst is situated at 223 Roanoke Ave, in the city of Riverhead, state of NY, with the zip code 119012778.
What is John Richard Klindienst's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Richard Klindienst is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the John Richard Klindienst receive its 1952466682 assignment from the Centers for Medicare & Medicaid Services?
The John Richard Klindienst was assigned its 1952466682 by the Centers for Medicare & Medicaid Services on 2006-12-22.
As of what date was the information pertaining to John Richard Klindienst, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Richard Klindienst, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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