Ed Kepka is a School in Newark, Delaware. Ed Kepka practices all healthcare services and medical treatments related to School. The NPI Number for Ed Kepka is 1912041823. The last update date is 2007-07-08.
Ed Kepka's current location address is 200 Tyre Ave, Newark, Delaware. You can contact this provider via phone number 3024542047. The mailing address for Ed Kepka is 200 Tyre Ave, Newark, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ed Kepka |
|---|---|
| Address | 200 Tyre Ave, Newark, Delaware |
| Phone Number | 3024542047 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1912041823 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Tyre Ave |
|---|---|
| City | Newark |
| State | Delaware (DE) |
| Post Code | 197117136 |
| Phone Number | 3024542047 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 11739 |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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What is the unique provider identifier assigned to Ed Kepka?
The Ed Kepka has been issued the NPI (National Provider Identifier) 1912041823 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 physical location address of Ed Kepka?
The Ed Kepka is physically situated at 200 Tyre Ave, in the city of Newark, state of DE, with the postal code 197117136.
What is the Ed Kepka's specialty and taxonomy code?
The Ed Kepka's specialty is School, and the corresponding taxonomy code is 103Ts0200X.
On what date did the Ed Kepka receive the assignment of its 1912041823 from the Centers for Medicare & Medicaid Services?
The Ed Kepka was issued its 1912041823 by the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date were the details related to Ed Kepka most recently updated or revised?
The information pertaining to Ed Kepka, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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