Kimberly Shaffer Tate in Centerville - Clinical
Kimberly Shaffer Tate - NPI 1154418903
Kimberly Shaffer Tate is a Clinical in Centerville, Ohio. Kimberly Shaffer Tate practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly Shaffer Tate is 1154418903. The last update date is 2007-07-09.
Kimberly Shaffer Tate's current location address is Po Box 41158, Centerville, Ohio. You can contact this provider via phone number 9374358864 and fax number 9374358264. The mailing address for Kimberly Shaffer Tate is Po Box 41158, Centerville, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Shaffer Tate |
|---|---|
| Address | Po Box 41158, Centerville, Ohio |
| Phone Number | 9374358864 |
| Fax Number | 9374358264 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1154418903 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 41158 |
|---|---|
| City | Centerville |
| State | Ohio (OH) |
| Post Code | 454410158 |
| Phone Number | 9374358864 |
| Fax Number | 9374358264 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4664 |
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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 |
|---|---|---|---|
| 28545000 | OH | MAGELLAN PIN | |
| 22000000356767 | OH | ANTHEM PIN | |
| 172428110968 | OH | HUMANA PIN | |
| 281859 | OH | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kimberly Shaffer Tate by the Centers for Medicare & Medicaid Services?
The Kimberly Shaffer Tate has been issued the NPI (National Provider Identifier) 1154418903 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kimberly Shaffer Tate's facilities are geographically located?
The facilities of Kimberly Shaffer Tate are physically situated at the following location: Po Box 41158, Centerville, OH, 454410158.
What is Kimberly Shaffer Tate's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly Shaffer Tate is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the Kimberly Shaffer Tate's 1154418903 issued?
The Kimberly Shaffer Tate's 1154418903 was issued on 2006-10-05.
When was the information pertaining to Kimberly Shaffer Tate most recently updated or revised?
The details related to Kimberly Shaffer Tate, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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