Gary Lee Kaake in Lakewood - Clinical Neuropsychologist

Gary Lee Kaake - NPI 1114011558

Gary Lee Kaake is a Clinical Neuropsychologist in Lakewood, Colorado. Gary Lee Kaake practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Gary Lee Kaake is 1114011558. The last update date is 2008-08-18.

Gary Lee Kaake's current location address is 8790 W Colfax Ave, Lakewood, Colorado. You can contact this provider via phone number 3032340827 and fax number 3032341771. The mailing address for Gary Lee Kaake is 8790 W Colfax Ave, Lakewood, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Lee Kaake
Address 8790 W Colfax Ave, Lakewood, Colorado
Phone Number 3032340827
Fax Number 3032341771
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1114011558
Provider Enumeration Date 2006-10-02
Last Updated Date 2008-08-18

Provider Mailing Address Detail

Address 8790 W Colfax Ave
City Lakewood
State Colorado (CO)
Post Code 802154092
Phone Number 3032340827
Fax Number 3032341771

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 1212
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
229797 CO COMPSYCH
7012123 CO --
470920477 CO TRICARE PROVIDER
90226 CO CIGNA BEHAVIORAL HEALTH

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FAQs about Gary Lee Kaake

What is the unique identifier code issued to Gary Lee Kaake by the Centers for Medicare & Medicaid Services?

The Gary Lee Kaake has been assigned the NPI (National Provider Identifier) 1114011558. 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 share the complete physical location address where Gary Lee Kaake's facilities are situated?

The facilities of Gary Lee Kaake are physically located at the following address: 8790 W Colfax Ave, Lakewood, CO, 802154092.

What is Gary Lee Kaake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gary Lee Kaake is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date was the 1114011558 assigned to Gary Lee Kaake?

The Gary Lee Kaake was issued its 1114011558 on 2006-10-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Gary Lee Kaake's details last updated?

The information pertaining to the Gary Lee Kaake, including its address, specialty, and other details, was most recently updated on 2008-08-18.

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