Ibukunola Charles Jegede in Omaha - Clinical Neuropsychologist
Ibukunola Charles Jegede - NPI 1508087206
Ibukunola Charles Jegede is a Clinical Neuropsychologist in Omaha, Nebraska. Ibukunola Charles Jegede practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Ibukunola Charles Jegede is 1508087206. The last update date is 2017-11-28.
Ibukunola Charles Jegede's current location address is 17500 Burke St, Omaha, Nebraska. You can contact this provider via phone number 4024013566. The mailing address for Ibukunola Charles Jegede is 17500 Burke St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ibukunola Charles Jegede |
|---|---|
| Address | 17500 Burke St, Omaha, Nebraska |
| Phone Number | 4024013566 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1508087206 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2017-11-28 |
Provider Mailing Address Detail
| Address | 17500 Burke St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681182244 |
| Phone Number | 4024013566 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 561 |
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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 |
|---|---|---|---|
| 1417045642 | NE | -- |
Post Comment/ Review Below
What is the Ibukunola Charles Jegede's 1508087206?
The Ibukunola Charles Jegede's NPI (National Provider Identifier) Number is 1508087206. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ibukunola Charles Jegede is located?
The Ibukunola Charles Jegede is situated at the following address: 17500 Burke St, Omaha, NE, 681182244.
What is the Ibukunola Charles Jegede's area of specialization and corresponding taxonomy classification?
The Ibukunola Charles Jegede's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1508087206 assigned to Ibukunola Charles Jegede?
The Ibukunola Charles Jegede was issued its 1508087206 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ibukunola Charles Jegede most recently updated or refreshed?
The details pertaining to the Ibukunola Charles Jegede, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-11-28.