Karestan Chase Koenen in Cambridge - Clinical
Karestan Chase Koenen - NPI 1962666891
Karestan Chase Koenen is a Clinical in Cambridge, Massachusetts. Karestan Chase Koenen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Karestan Chase Koenen is 1962666891. The last update date is 2008-07-10.
Karestan Chase Koenen's current location address is 24 Leonard Ave, Cambridge, Massachusetts. You can contact this provider via phone number 6174324622 and fax number 6174323755. The mailing address for Karestan Chase Koenen is 24 Leonard Ave, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karestan Chase Koenen |
|---|---|
| Address | 24 Leonard Ave, Cambridge, Massachusetts |
| Phone Number | 6174324622 |
| Fax Number | 6174323755 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1962666891 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 24 Leonard Ave |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21391020 |
| Phone Number | 6174324622 |
| Fax Number | 6174323755 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 8122 |
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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 issued to Karestan Chase Koenen by the Centers for Medicare & Medicaid Services?
The Karestan Chase Koenen has been assigned the NPI (National Provider Identifier) 1962666891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Karestan Chase Koenen's physical address?
The Karestan Chase Koenen is physically located at 24 Leonard Ave, in the city of Cambridge, MA, with the postal code 21391020.
What is Karestan Chase Koenen's area of expertise and its corresponding taxonomy classification?
The Karestan Chase Koenen's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1962666891 to Karestan Chase Koenen?
The Karestan Chase Koenen received its 1962666891 assignment from the Centers for Medicare & Medicaid Services on 2008-07-10.
When was the information pertaining to Karestan Chase Koenen most recently updated or revised?
The details related to Karestan Chase Koenen, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-10.
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