Shanna Marie Kurth in Peoria - Clinical Neuropsychologist
Shanna Marie Kurth - NPI 1891800603
Shanna Marie Kurth is a Clinical Neuropsychologist in Peoria, Illinois. Shanna Marie Kurth practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Shanna Marie Kurth is 1891800603. The last update date is 2013-05-20.
Shanna Marie Kurth's current location address is 3100 N Dries Ln, Peoria, Illinois. You can contact this provider via phone number 3096869005 and fax number 3096869020. The mailing address for Shanna Marie Kurth is 3100 N Dries Ln, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanna Marie Kurth |
|---|---|
| Address | 3100 N Dries Ln, Peoria, Illinois |
| Phone Number | 3096869005 |
| Fax Number | 3096869020 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1891800603 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2013-05-20 |
Provider Mailing Address Detail
| Address | 3100 N Dries Ln |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616041265 |
| Phone Number | 3096869005 |
| Fax Number | 3096869020 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 71004929 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7226636 | IL | BCBS OF IL |
Post Comment/ Review Below
What is the Shanna Marie Kurth's 1891800603?
The Shanna Marie Kurth's NPI (National Provider Identifier) Number is 1891800603. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shanna Marie Kurth's facilities are geographically located?
The facilities of Shanna Marie Kurth are physically situated at the following location: 3100 N Dries Ln, Peoria, IL, 616041265.
What is Shanna Marie Kurth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shanna Marie Kurth's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891800603 to Shanna Marie Kurth?
The Shanna Marie Kurth received its 1891800603 assignment from the Centers for Medicare & Medicaid Services on 2006-08-20.
When was the information regarding Shanna Marie Kurth, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shanna Marie Kurth, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-05-20.