Charles Kodimer Phd Psychological in Corona - Clinical
Charles Kodimer Phd Psychological - NPI 1891749727
Charles Kodimer Phd Psychological is a Clinical in Corona, California. Charles Kodimer Phd Psychological practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles Kodimer Phd Psychological is 1891749727. The last update date is 2023-02-13.
Charles Kodimer Phd Psychological's current location address is Po Box 78988, Corona, California. You can contact this provider via phone number 9516764393 and fax number 9516940553. The mailing address for Charles Kodimer Phd Psychological is Po Box 78988, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles Kodimer Phd Psychological |
|---|---|
| Address | Po Box 78988, Corona, California |
| Phone Number | 9516764393 |
| Fax Number | 9516940553 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kodimer Charles |
| Credentials | PHD |
| Telephone Number | 5628616180 |
NPI Number Detail
| NPI Number | 1891749727 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2023-02-13 |
Provider Mailing Address Detail
| Address | Po Box 78988 |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928770166 |
| Phone Number | 9516764393 |
| Fax Number | 9516940553 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 6629 |
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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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What is the unique identification code assigned to Charles Kodimer Phd Psychological by the Centers for Medicare & Medicaid Services?
The Charles Kodimer Phd Psychological has been issued the NPI (National Provider Identifier) 1891749727. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Charles Kodimer Phd Psychological is geographically located?
The Charles Kodimer Phd Psychological is physically situated at the following location: Po Box 78988, Corona, CA, 928770166.
What is Charles Kodimer Phd Psychological's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles Kodimer Phd Psychological is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891749727 to Charles Kodimer Phd Psychological?
The Centers for Medicare & Medicaid Services originally issued the 1891749727 to Charles Kodimer Phd Psychological on 2006-05-22.
As of what date were the details related to Charles Kodimer Phd Psychological most recently updated or revised?
The information pertaining to Charles Kodimer Phd Psychological, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-13.
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