Kenneth Ray Philipp in Roseville - Psychologist
Kenneth Ray Philipp - NPI 1578629390
Kenneth Ray Philipp is a Psychologist in Roseville, California. Kenneth Ray Philipp practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kenneth Ray Philipp is 1578629390. The last update date is 2007-07-08.
Kenneth Ray Philipp's current location address is 1891 E Roseville Pkwy, Roseville, California. You can contact this provider via phone number 9167897082 and fax number 9167978840. The mailing address for Kenneth Ray Philipp is 1891 E Roseville Pkwy, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Ray Philipp |
|---|---|
| Address | 1891 E Roseville Pkwy, Roseville, California |
| Phone Number | 9167897082 |
| Fax Number | 9167978840 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1578629390 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1891 E Roseville Pkwy |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 95661 |
| Phone Number | 9167897082 |
| Fax Number | 9167978840 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY17630 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to Kenneth Ray Philipp by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Ray Philipp has been assigned the NPI (National Provider Identifier) 1578629390. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kenneth Ray Philipp located?
The Kenneth Ray Philipp is located at 1891 E Roseville Pkwy, Roseville, CA 95661.
What is the Kenneth Ray Philipp's specialty and taxonomy code?
The Kenneth Ray Philipp's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When was the Kenneth Ray Philipp's 1578629390 issued?
The Kenneth Ray Philipp's 1578629390 was issued on 2006-12-28.
When was the Kenneth Ray Philipp's information last updated?
The Kenneth Ray Philipp's information was last updated on 2007-07-08.
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