Elizaveta Potapenko in Austin - Clinical
Elizaveta Potapenko - NPI 1417104118
Elizaveta Potapenko is a Clinical in Austin, Texas. Elizaveta Potapenko practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizaveta Potapenko is 1417104118. The last update date is 2015-08-20.
Elizaveta Potapenko's current location address is 2111 Dickson Dr, Austin, Texas. You can contact this provider via phone number 4049890850. The mailing address for Elizaveta Potapenko is 2111 Dickson Dr, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizaveta Potapenko |
|---|---|
| Address | 2111 Dickson Dr, Austin, Texas |
| Phone Number | 4049890850 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1417104118 |
|---|---|
| Provider Enumeration Date | 2008-08-25 |
| Last Updated Date | 2015-08-20 |
Provider Mailing Address Detail
| Address | 2111 Dickson Dr |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787044796 |
| Phone Number | 4049890850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 36269 |
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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 identifier code issued to Elizaveta Potapenko by the Centers for Medicare & Medicaid Services?
The Elizaveta Potapenko has been assigned the NPI (National Provider Identifier) 1417104118. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Elizaveta Potapenko is located?
The Elizaveta Potapenko is situated at the following address: 2111 Dickson Dr, Austin, TX, 787044796.
What is Elizaveta Potapenko's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Elizaveta Potapenko is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When was the Elizaveta Potapenko's 1417104118 issued?
The Elizaveta Potapenko's 1417104118 was issued on 2008-08-25.
When was the Elizaveta Potapenko's information last updated?
The Elizaveta Potapenko's information was last updated on 2015-08-20.
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