Gary Daniel Kendziorski in Lannon - Clinical
Gary Daniel Kendziorski - NPI 1730277617
Gary Daniel Kendziorski is a Clinical in Lannon, Wisconsin. Gary Daniel Kendziorski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Daniel Kendziorski is 1730277617. The last update date is 2007-07-08.
Gary Daniel Kendziorski's current location address is 20943 W Good Hope Road, Lannon, Wisconsin. You can contact this provider via phone number 2622503331. The mailing address for Gary Daniel Kendziorski is 20943 W Good Hope Road, Lannon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Daniel Kendziorski |
|---|---|
| Address | 20943 W Good Hope Road, Lannon, Wisconsin |
| Phone Number | 2622503331 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1730277617 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20943 W Good Hope Road |
|---|---|
| City | Lannon |
| State | Wisconsin (WI) |
| Post Code | 53046 |
| Phone Number | 2622503331 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1043-057 |
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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 |
|---|---|---|---|
| 39043400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Daniel Kendziorski?
The Gary Daniel Kendziorski has been issued the NPI (National Provider Identifier) 1730277617 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Gary Daniel Kendziorski is physically located?
The Gary Daniel Kendziorski is physically situated at the following address: 20943 W Good Hope Road, Lannon, WI, 53046.
What is the area of specialization for Gary Daniel Kendziorski, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gary Daniel Kendziorski is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did Gary Daniel Kendziorski receive its 1730277617 assignment from the Centers for Medicare & Medicaid Services?
The Gary Daniel Kendziorski was assigned its 1730277617 on 2006-10-10, 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 Gary Daniel Kendziorski most recently updated or revised?
The information pertaining to Gary Daniel Kendziorski, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.