Carole Kjellander in Ashland - Clinical

Carole Kjellander - NPI 1790840163

Carole Kjellander is a Clinical in Ashland, Wisconsin. Carole Kjellander practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carole Kjellander is 1790840163. The last update date is 2007-07-09.

Carole Kjellander's current location address is 214 12th Ave E, Ashland, Wisconsin. You can contact this provider via phone number 7156859614 and fax number 7156824821. The mailing address for Carole Kjellander is 214 12th Ave E, Ashland, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Carole Kjellander
Address 214 12th Ave E, Ashland, Wisconsin
Phone Number 7156859614
Fax Number 7156824821
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1790840163
Provider Enumeration Date 2006-12-26
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 214 12th Ave E
City Ashland
State Wisconsin (WI)
Post Code 548062035
Phone Number 7156859614
Fax Number 7156824821

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No WI1988
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
39703900 WI --

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FAQs about Carole Kjellander

What is the unique identifier code issued to Carole Kjellander by the Centers for Medicare & Medicaid Services?

The Carole Kjellander has been assigned the NPI (National Provider Identifier) 1790840163. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Carole Kjellander's facilities are geographically located?

The facilities of Carole Kjellander are physically situated at the following location: 214 12Th Ave E, Ashland, WI, 548062035.

What is the Carole Kjellander's specialty and taxonomy code?

The Carole Kjellander's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

When did Carole Kjellander receive its 1790840163 assignment?

The Carole Kjellander was assigned its 1790840163 on 2006-12-26, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Carole Kjellander, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carole Kjellander, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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