Steven P. Dykstra is a Clinical in Milwaukee, Wisconsin. Steven P. Dykstra practices all healthcare services and medical treatments related to Clinical. The NPI Number for Steven P. Dykstra is 1457426215. The last update date is 2008-09-30.
Steven P. Dykstra's current location address is 9455 W Watertown Plank Rd, Milwaukee, Wisconsin. You can contact this provider via phone number 4142576995. The mailing address for Steven P. Dykstra is 9455 W Watertown Plank Rd, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven P. Dykstra |
|---|---|
| Address | 9455 W Watertown Plank Rd, Milwaukee, Wisconsin |
| Phone Number | 4142576995 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1457426215 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2008-09-30 |
Provider Mailing Address Detail
| Address | 9455 W Watertown Plank Rd |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532263559 |
| Phone Number | 4142576995 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1553-057 |
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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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What is the unique 10-digit identifier code assigned to Steven P. Dykstra by the Centers for Medicare & Medicaid Services?
The Steven P. Dykstra has been issued the NPI (National Provider Identifier) 1457426215 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Steven P. Dykstra's facilities are situated?
The facilities of Steven P. Dykstra are physically located at the following address: 9455 W Watertown Plank Rd, Milwaukee, WI, 532263559.
What is the Steven P. Dykstra's specialty and taxonomy code?
The Steven P. Dykstra's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Steven P. Dykstra receive the assignment of its 1457426215 from the Centers for Medicare & Medicaid Services?
The Steven P. Dykstra was issued its 1457426215 by the Centers for Medicare & Medicaid Services on 2006-11-21.
As of what date were the Steven P. Dykstra's details last updated?
The information pertaining to the Steven P. Dykstra, including its address, specialty, and other details, was most recently updated on 2008-09-30.
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