Rena M Popma is a Clinical in San Antonio, Texas. Rena M Popma practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rena M Popma is 1861417784. The last update date is 2007-07-09.
Rena M Popma's current location address is 616 W Russell Pl, San Antonio, Texas. You can contact this provider via phone number 8002578715 and fax number 8008191655. The mailing address for Rena M Popma is 616 W Russell Pl, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rena M Popma |
|---|---|
| Address | 616 W Russell Pl, San Antonio, Texas |
| Phone Number | 8002578715 |
| Fax Number | 8008191655 |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1861417784 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 616 W Russell Pl |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782123658 |
| Phone Number | 8002578715 |
| Fax Number | 8008191655 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 31139 |
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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 |
|---|---|---|---|
| 40880905 | TX | -- | |
| 164769502 | TX | -- | |
| 164769501 | TX | -- | |
| 86914A | TX | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Rena M Popma by the Centers for Medicare & Medicaid Services?
The Rena M Popma has been assigned the NPI (National Provider Identifier) 1861417784 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Rena M Popma?
The Rena M Popma is physically situated at 616 W Russell Pl, in the city of San Antonio, state of TX, with the postal code 782123658.
What is Rena M Popma's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rena M Popma is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1861417784 to Rena M Popma?
The Centers for Medicare & Medicaid Services assigned the 1861417784 to Rena M Popma on 2006-07-12.
As of what date was the information regarding Rena M Popma, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rena M Popma, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.