Laurel B Brundage in Evansville - Psychologist
Laurel B Brundage - NPI 1558359307
Laurel B Brundage is a Psychologist in Evansville, Indiana. Laurel B Brundage practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Laurel B Brundage is 1558359307. The last update date is 2015-10-05.
Laurel B Brundage's current location address is Po Box 3276, Evansville, Indiana. You can contact this provider via phone number 8124730181 and fax number 8124735822. The mailing address for Laurel B Brundage is Po Box 3276, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurel B Brundage |
|---|---|
| Address | Po Box 3276, Evansville, Indiana |
| Phone Number | 8124730181 |
| Fax Number | 8124735822 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1558359307 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2015-10-05 |
Provider Mailing Address Detail
| Address | Po Box 3276 |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477313276 |
| Phone Number | 8124730181 |
| Fax Number | 8124735822 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 948 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IA01K6 | JOHN DEERE HEALTH PLAN | ||
| 439240 | IA | -- | |
| 34115 | IA | WELLMARK HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Laurel B Brundage by the Centers for Medicare & Medicaid Services?
The Laurel B Brundage has been issued the NPI (National Provider Identifier) 1558359307 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Laurel B Brundage is located?
The Laurel B Brundage is situated at the following address: Po Box 3276, Evansville, IN, 477313276.
What is Laurel B Brundage's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Laurel B Brundage is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558359307 to Laurel B Brundage?
The Centers for Medicare & Medicaid Services originally issued the 1558359307 to Laurel B Brundage on 2005-10-06.
As of what date was the information pertaining to Laurel B Brundage, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Laurel B Brundage, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-10-05.