Gary S Indenbaum in Hickory - Clinical

Gary S Indenbaum - NPI 1083711816

Gary S Indenbaum is a Clinical in Hickory, North Carolina. Gary S Indenbaum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary S Indenbaum is 1083711816. The last update date is 2013-10-16.

Gary S Indenbaum's current location address is 321 7th Street Ne, Hickory, North Carolina. You can contact this provider via phone number 8283246397 and fax number 8283242320. The mailing address for Gary S Indenbaum is 321 7th Street Ne, Hickory, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary S Indenbaum
Address 321 7th Street Ne, Hickory, North Carolina
Phone Number 8283246397
Fax Number 8283242320
Sole Proprietor Y
Credentials PH.D

NPI Number Detail

NPI Number 1083711816
Provider Enumeration Date 2006-09-20
Last Updated Date 2013-10-16

Provider Mailing Address Detail

Address 321 7th Street Ne
City Hickory
State North Carolina (NC)
Post Code 286015154
Phone Number 8283246397
Fax Number 8283242320

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1082
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
6000307 NC --

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FAQs about Gary S Indenbaum

What is the unique identification code assigned to Gary S Indenbaum by the Centers for Medicare & Medicaid Services?

The Gary S Indenbaum has been issued the NPI (National Provider Identifier) 1083711816. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gary S Indenbaum's facilities are situated?

The facilities of Gary S Indenbaum are physically located at the following address: 321 7Th Street Ne, Hickory, NC, 286015154.

What is Gary S Indenbaum's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gary S Indenbaum's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

When did Gary S Indenbaum receive its 1083711816 assignment?

The Gary S Indenbaum was assigned its 1083711816 on 2006-09-20, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Gary S Indenbaum most recently updated or revised?

The details related to Gary S Indenbaum, including its address, specialty, and other relevant information, were last updated or revised on 2013-10-16.

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