Marylynne Kemperman Black in Perkiomenville - Clinical
Marylynne Kemperman Black - NPI 1508083742
Marylynne Kemperman Black is a Clinical in Perkiomenville, Pennsylvania. Marylynne Kemperman Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marylynne Kemperman Black is 1508083742. The last update date is 2007-07-08.
Marylynne Kemperman Black's current location address is 621 Hildebrandt Road, Perkiomenville, Pennsylvania. You can contact this provider via phone number 6107547608 and fax number 6107547608. The mailing address for Marylynne Kemperman Black is 621 Hildebrandt Road, Perkiomenville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marylynne Kemperman Black |
|---|---|
| Address | 621 Hildebrandt Road, Perkiomenville, Pennsylvania |
| Phone Number | 6107547608 |
| Fax Number | 6107547608 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1508083742 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 621 Hildebrandt Road |
|---|---|
| City | Perkiomenville |
| State | Pennsylvania (PA) |
| Post Code | 180749504 |
| Phone Number | 6107547608 |
| Fax Number | 6107547608 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | TPS 029985 |
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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 10-digit identifier code assigned to Marylynne Kemperman Black by the Centers for Medicare & Medicaid Services?
The Marylynne Kemperman Black has been issued the NPI (National Provider Identifier) 1508083742 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marylynne Kemperman Black?
The Marylynne Kemperman Black is physically situated at 621 Hildebrandt Road, in the city of Perkiomenville, state of PA, with the postal code 180749504.
What is the Marylynne Kemperman Black's specialty and taxonomy code?
The Marylynne Kemperman Black's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Marylynne Kemperman Black receive its 1508083742?
The Marylynne Kemperman Black was issued its 1508083742 on 2007-04-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Marylynne Kemperman Black last refreshed?
The information related to the Marylynne Kemperman Black, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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