Gary James Loethen is a Clinical in Tomah, Wisconsin. Gary James Loethen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary James Loethen is 1699717348. The last update date is 2007-07-12.
Gary James Loethen's current location address is 500 E Veterans St, Tomah, Wisconsin. You can contact this provider via phone number 6083723971 and fax number 6083721263. The mailing address for Gary James Loethen is 500 E Veterans St, Tomah, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary James Loethen |
|---|---|
| Address | 500 E Veterans St, Tomah, Wisconsin |
| Phone Number | 6083723971 |
| Fax Number | 6083721263 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1699717348 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 500 E Veterans St |
|---|---|
| City | Tomah |
| State | Wisconsin (WI) |
| Post Code | 546603105 |
| Phone Number | 6083723971 |
| Fax Number | 6083721263 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1914-057 |
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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 identifier code issued to Gary James Loethen by the Centers for Medicare & Medicaid Services?
The Gary James Loethen has been assigned the NPI (National Provider Identifier) 1699717348. 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 Gary James Loethen's facilities are geographically located?
The facilities of Gary James Loethen are physically situated at the following location: 500 E Veterans St, Tomah, WI, 546603105.
What is Gary James Loethen'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 Gary James Loethen 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 1699717348 to Gary James Loethen?
The Centers for Medicare & Medicaid Services assigned the 1699717348 to Gary James Loethen on 2006-06-10.
As of what date was the information regarding Gary James Loethen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary James Loethen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-12.