Kathryn Elisabeth Ekemo in Auburn - Clinical
Kathryn Elisabeth Ekemo - NPI 1639262918
Kathryn Elisabeth Ekemo is a Clinical in Auburn, California. Kathryn Elisabeth Ekemo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn Elisabeth Ekemo is 1639262918. The last update date is 2022-07-21.
Kathryn Elisabeth Ekemo's current location address is 1223 High St Spc C-1, Auburn, California. You can contact this provider via phone number 4253087982 and fax number 4255028141. The mailing address for Kathryn Elisabeth Ekemo is 1223 High St Spc C-1, Auburn, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Elisabeth Ekemo |
|---|---|
| Address | 1223 High St Spc C-1, Auburn, California |
| Phone Number | 4253087982 |
| Fax Number | 4255028141 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1639262918 |
|---|---|
| Provider Enumeration Date | 2006-10-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1223 High St Spc C-1 |
|---|---|
| City | Auburn |
| State | California (CA) |
| Post Code | 956035017 |
| Phone Number | 4253087982 |
| Fax Number | 4255028141 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY2096 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11535858 | WA | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Kathryn Elisabeth Ekemo by the Centers for Medicare & Medicaid Services?
The Kathryn Elisabeth Ekemo has been assigned the NPI (National Provider Identifier) 1639262918. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kathryn Elisabeth Ekemo?
The Kathryn Elisabeth Ekemo is physically situated at 1223 High St Spc C-1, in the city of Auburn, state of CA, with the postal code 956035017.
What is the Kathryn Elisabeth Ekemo's specialty and taxonomy code?
The Kathryn Elisabeth Ekemo's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639262918 to Kathryn Elisabeth Ekemo?
The Kathryn Elisabeth Ekemo received its 1639262918 assignment from the Centers for Medicare & Medicaid Services on 2006-10-01.
As of what date were the details related to Kathryn Elisabeth Ekemo most recently updated or revised?
The information pertaining to Kathryn Elisabeth Ekemo, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
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