Bradford Raymond Luz in Santa Rosa - Psychologist
Bradford Raymond Luz - NPI 1023139797
Bradford Raymond Luz is a Psychologist in Santa Rosa, California. Bradford Raymond Luz practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bradford Raymond Luz is 1023139797. The last update date is 2007-07-08.
Bradford Raymond Luz's current location address is 1415 Owl Pt, Santa Rosa, California. You can contact this provider via phone number 7075377837. The mailing address for Bradford Raymond Luz is 1415 Owl Pt, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford Raymond Luz |
|---|---|
| Address | 1415 Owl Pt, Santa Rosa, California |
| Phone Number | 7075377837 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023139797 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1415 Owl Pt |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954094395 |
| Phone Number | 7075377837 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY10361 |
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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 10-digit identifier code issued to Bradford Raymond Luz by the Centers for Medicare & Medicaid Services?
The Bradford Raymond Luz has been assigned the NPI (National Provider Identifier) 1023139797 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bradford Raymond Luz is located?
The Bradford Raymond Luz is situated at the following address: 1415 Owl Pt, Santa Rosa, CA, 954094395.
What is the Bradford Raymond Luz's area of specialization and corresponding taxonomy classification?
The Bradford Raymond Luz's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When was the Bradford Raymond Luz's 1023139797 issued?
The Bradford Raymond Luz's 1023139797 was issued on 2007-04-02.
As of what date were the Bradford Raymond Luz's details last updated?
The information pertaining to the Bradford Raymond Luz, including its address, specialty, and other details, was most recently updated on 2007-07-08.