Kenneth F. Wise is a Clinical in Richardson, Texas. Kenneth F. Wise practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth F. Wise is 1700955275. The last update date is 2007-07-08.
Kenneth F. Wise's current location address is 529 Parkview Ln, Richardson, Texas. You can contact this provider via phone number 9728697391 and fax number 9722350121. The mailing address for Kenneth F. Wise is 529 Parkview Ln, Richardson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth F. Wise |
|---|---|
| Address | 529 Parkview Ln, Richardson, Texas |
| Phone Number | 9728697391 |
| Fax Number | 9722350121 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1700955275 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 529 Parkview Ln |
|---|---|
| City | Richardson |
| State | Texas (TX) |
| Post Code | 750805116 |
| Phone Number | 9728697391 |
| Fax Number | 9722350121 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 25783 |
|
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 |
|---|---|---|---|
| 86564A | TX | BCBS GROUP PROVIDER# | |
| 0042DG | TX | BCBS PROVIDER # |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth F. Wise by the Centers for Medicare & Medicaid Services?
The Kenneth F. Wise has been assigned the NPI (National Provider Identifier) 1700955275. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenneth F. Wise is geographically located?
The Kenneth F. Wise is physically situated at the following location: 529 Parkview Ln, Richardson, TX, 750805116.
What is Kenneth F. Wise's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth F. Wise is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When was the Kenneth F. Wise's 1700955275 issued?
The Kenneth F. Wise's 1700955275 was issued on 2006-11-07.
As of what date was the information pertaining to Kenneth F. Wise, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth F. Wise, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.