Jeffrey R Durbin is a Clinical in Tomah, Wisconsin. Jeffrey R Durbin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey R Durbin is 1134161417. The last update date is 2007-07-08.
Jeffrey R Durbin's current location address is 11331 Flavone Rd, Tomah, Wisconsin. You can contact this provider via phone number 6083742403. The mailing address for Jeffrey R Durbin is 11331 Flavone Rd, Tomah, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey R Durbin |
|---|---|
| Address | 11331 Flavone Rd, Tomah, Wisconsin |
| Phone Number | 6083742403 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134161417 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11331 Flavone Rd |
|---|---|
| City | Tomah |
| State | Wisconsin (WI) |
| Post Code | 546608175 |
| Phone Number | 6083742403 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1887057 |
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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 identification code assigned to Jeffrey R Durbin by the Centers for Medicare & Medicaid Services?
The Jeffrey R Durbin has been issued the NPI (National Provider Identifier) 1134161417. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jeffrey R Durbin's facilities are situated?
The facilities of Jeffrey R Durbin are physically located at the following address: 11331 Flavone Rd, Tomah, WI, 546608175.
What is Jeffrey R Durbin's area of expertise and its corresponding taxonomy classification?
The Jeffrey R Durbin's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did Jeffrey R Durbin receive its 1134161417 assignment?
The Jeffrey R Durbin was assigned its 1134161417 on 2006-06-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jeffrey R Durbin most recently updated or revised?
The details related to Jeffrey R Durbin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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