Philip Stephen Fastenau in Cleveland - Clinical Neuropsychologist
Philip Stephen Fastenau - NPI 1407012883
Philip Stephen Fastenau is a Clinical Neuropsychologist in Cleveland, Ohio. Philip Stephen Fastenau practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Philip Stephen Fastenau is 1407012883. The last update date is 2020-12-08.
Philip Stephen Fastenau's current location address is 11100 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 2168442400 and fax number 2168441703. The mailing address for Philip Stephen Fastenau is 11100 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Stephen Fastenau |
|---|---|
| Address | 11100 Euclid Ave, Cleveland, Ohio |
| Phone Number | 2168442400 |
| Fax Number | 2168441703 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1407012883 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2020-12-08 |
Provider Mailing Address Detail
| Address | 11100 Euclid Ave |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441061716 |
| Phone Number | 2168442400 |
| Fax Number | 2168441703 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 6463 |
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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 |
|---|---|---|---|
| P00690297 | OH | MEDICARE RAILROAD | |
| 2842786 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Philip Stephen Fastenau by the Centers for Medicare & Medicaid Services?
The Philip Stephen Fastenau has been issued the NPI (National Provider Identifier) 1407012883, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Philip Stephen Fastenau is located?
The Philip Stephen Fastenau is situated at the following address: 11100 Euclid Ave, Cleveland, OH, 441061716.
What is the area of specialization for Philip Stephen Fastenau, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Philip Stephen Fastenau is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.
On what date was the 1407012883 assigned to Philip Stephen Fastenau?
The Philip Stephen Fastenau was issued its 1407012883 on 2008-08-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Philip Stephen Fastenau, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Philip Stephen Fastenau, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-08.