Charles Kodimer in Temecula - Clinical Neuropsychologist
Charles Kodimer - NPI 1023040599
Charles Kodimer is a Clinical Neuropsychologist in Temecula, California. Charles Kodimer practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Charles Kodimer is 1023040599. The last update date is 2015-08-25.
Charles Kodimer's current location address is 41934 Main St Ste 203, Temecula, California. You can contact this provider via phone number 5628616180 and fax number 9516940553. The mailing address for Charles Kodimer is 41934 Main St Ste 203, Temecula, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Kodimer |
|---|---|
| Address | 41934 Main St Ste 203, Temecula, California |
| Phone Number | 5628616180 |
| Fax Number | 9516940553 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1023040599 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2015-08-25 |
Provider Mailing Address Detail
| Address | 41934 Main St Ste 203 |
|---|---|
| City | Temecula |
| State | California (CA) |
| Post Code | 925902714 |
| Phone Number | 5628616180 |
| Fax Number | 9516940553 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY 6629 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique identifier code issued to Charles Kodimer by the Centers for Medicare & Medicaid Services?
The Charles Kodimer has been assigned the NPI (National Provider Identifier) 1023040599. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles Kodimer?
The Charles Kodimer is physically situated at 41934 Main St Ste 203, in the city of Temecula, state of CA, with the postal code 925902714.
What is Charles Kodimer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Kodimer is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023040599 to Charles Kodimer?
The Centers for Medicare & Medicaid Services assigned the 1023040599 to Charles Kodimer on 2006-07-07.
When was the information regarding Charles Kodimer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles Kodimer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-08-25.