Jeanne Brockmyer Funk in Toledo - Clinical Child & Adolescent
Jeanne Brockmyer Funk - NPI 1588604847
Jeanne Brockmyer Funk is a Clinical Child & Adolescent in Toledo, Ohio. Jeanne Brockmyer Funk practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jeanne Brockmyer Funk is 1588604847. The last update date is 2007-07-08.
Jeanne Brockmyer Funk's current location address is 2801 West Bancroft, Toledo, Ohio. You can contact this provider via phone number 4195304392 and fax number 4195304392. The mailing address for Jeanne Brockmyer Funk is 2801 West Bancroft, Toledo, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanne Brockmyer Funk |
|---|---|
| Address | 2801 West Bancroft, Toledo, Ohio |
| Phone Number | 4195304392 |
| Fax Number | 4195304392 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1588604847 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2801 West Bancroft |
|---|---|
| City | Toledo |
| State | Ohio (OH) |
| Post Code | 436063390 |
| Phone Number | 4195304392 |
| Fax Number | 4195304392 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2732 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 394747 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeanne Brockmyer Funk by the Centers for Medicare & Medicaid Services?
The Jeanne Brockmyer Funk has been issued the NPI (National Provider Identifier) 1588604847, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeanne Brockmyer Funk?
The Jeanne Brockmyer Funk is situated at 2801 West Bancroft, in the city of Toledo, state of OH, with the zip code 436063390.
What is the Jeanne Brockmyer Funk's area of specialization and corresponding taxonomy classification?
The Jeanne Brockmyer Funk's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did Jeanne Brockmyer Funk receive its 1588604847 assignment from the Centers for Medicare & Medicaid Services?
The Jeanne Brockmyer Funk was assigned its 1588604847 on 2006-06-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jeanne Brockmyer Funk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeanne Brockmyer Funk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.