Gordon Wayne Sixty in Bulverde - Clinical
Gordon Wayne Sixty - NPI 1093720450
Gordon Wayne Sixty is a Clinical in Bulverde, Texas. Gordon Wayne Sixty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gordon Wayne Sixty is 1093720450. The last update date is 2007-07-09.
Gordon Wayne Sixty's current location address is 5925 Fm 1863, Bulverde, Texas. You can contact this provider via phone number 8309808027. The mailing address for Gordon Wayne Sixty is 5925 Fm 1863, Bulverde, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Wayne Sixty |
|---|---|
| Address | 5925 Fm 1863, Bulverde, Texas |
| Phone Number | 8309808027 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1093720450 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5925 Fm 1863 |
|---|---|
| City | Bulverde |
| State | Texas (TX) |
| Post Code | 781634009 |
| Phone Number | 8309808027 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 21094 |
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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 identifier code issued to Gordon Wayne Sixty by the Centers for Medicare & Medicaid Services?
The Gordon Wayne Sixty has been assigned the NPI (National Provider Identifier) 1093720450. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gordon Wayne Sixty?
The Gordon Wayne Sixty is situated at 5925 Fm 1863, in the city of Bulverde, state of TX, with the zip code 781634009.
What is the Gordon Wayne Sixty's area of specialization and corresponding taxonomy classification?
The Gordon Wayne Sixty's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did Gordon Wayne Sixty receive its 1093720450 assignment from the Centers for Medicare & Medicaid Services?
The Gordon Wayne Sixty was assigned its 1093720450 on 2006-07-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Gordon Wayne Sixty most recently updated or revised?
The information pertaining to Gordon Wayne Sixty, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.