Steven Bryan Blakely in Thousand Oaks - Clinical
Steven Bryan Blakely - NPI 1780765909
Steven Bryan Blakely is a Clinical in Thousand Oaks, California. Steven Bryan Blakely practices all healthcare services and medical treatments related to Clinical. The NPI Number for Steven Bryan Blakely is 1780765909. The last update date is 2007-07-08.
Steven Bryan Blakely's current location address is 1587 Oberlin Ave, Thousand Oaks, California. You can contact this provider via phone number 8053811107. The mailing address for Steven Bryan Blakely is 1587 Oberlin Ave, Thousand Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Bryan Blakely |
|---|---|
| Address | 1587 Oberlin Ave, Thousand Oaks, California |
| Phone Number | 8053811107 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1780765909 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1587 Oberlin Ave |
|---|---|
| City | Thousand Oaks |
| State | California (CA) |
| Post Code | 913602042 |
| Phone Number | 8053811107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 20483 |
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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 Steven Bryan Blakely by the Centers for Medicare & Medicaid Services?
The Steven Bryan Blakely has been issued the NPI (National Provider Identifier) 1780765909. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Steven Bryan Blakely's facilities are geographically located?
The facilities of Steven Bryan Blakely are physically situated at the following location: 1587 Oberlin Ave, Thousand Oaks, CA, 913602042.
What is the Steven Bryan Blakely's specialty and taxonomy code?
The Steven Bryan Blakely's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780765909 to Steven Bryan Blakely?
The Centers for Medicare & Medicaid Services originally issued the 1780765909 to Steven Bryan Blakely on 2006-10-17.
When was the information pertaining to Steven Bryan Blakely most recently updated or revised?
The details related to Steven Bryan Blakely, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.