Mikhail Gutkin is a Clinical in Vallejo, California. Mikhail Gutkin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mikhail Gutkin is 1679601041. The last update date is 2022-01-11.
Mikhail Gutkin's current location address is 1761 Broadway St, Vallejo, California. You can contact this provider via phone number 7076452700. The mailing address for Mikhail Gutkin is 1761 Broadway St, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mikhail Gutkin |
|---|---|
| Address | 1761 Broadway St, Vallejo, California |
| Phone Number | 7076452700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1679601041 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2022-01-11 |
Provider Mailing Address Detail
| Address | 1761 Broadway St |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945892226 |
| Phone Number | 7076452700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY24794 |
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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 10-digit identification code assigned to Mikhail Gutkin by the Centers for Medicare & Medicaid Services?
The Mikhail Gutkin has been issued the NPI (National Provider Identifier) 1679601041, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mikhail Gutkin's physical address?
The Mikhail Gutkin is physically located at 1761 Broadway St, in the city of Vallejo, CA, with the postal code 945892226.
What is the Mikhail Gutkin's area of specialization and corresponding taxonomy classification?
The Mikhail Gutkin's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1679601041 to Mikhail Gutkin?
The Mikhail Gutkin received its 1679601041 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date was the information regarding Mikhail Gutkin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mikhail Gutkin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-11.
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