Kevin Michael Pernicano in New Braunfels - Clinical
Kevin Michael Pernicano - NPI 1083663835
Kevin Michael Pernicano is a Clinical in New Braunfels, Texas. Kevin Michael Pernicano practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Michael Pernicano is 1083663835. The last update date is 2020-03-16.
Kevin Michael Pernicano's current location address is 2071 Wind Chime Way, New Braunfels, Texas. You can contact this provider via phone number 2102784584. The mailing address for Kevin Michael Pernicano is 2071 Wind Chime Way, New Braunfels, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Michael Pernicano |
|---|---|
| Address | 2071 Wind Chime Way, New Braunfels, Texas |
| Phone Number | 2102784584 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1083663835 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2020-03-16 |
Provider Mailing Address Detail
| Address | 2071 Wind Chime Way |
|---|---|
| City | New Braunfels |
| State | Texas (TX) |
| Post Code | 78130 |
| Phone Number | 2102784584 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 37643 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3749426 | TX | -- | |
| 37643 | TX | TEXAS STATE PSYCHOLOGY LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Michael Pernicano by the Centers for Medicare & Medicaid Services?
The Kevin Michael Pernicano has been assigned the NPI (National Provider Identifier) 1083663835. 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 address where Kevin Michael Pernicano is physically located?
The Kevin Michael Pernicano is situated at the following address: 2071 Wind Chime Way, New Braunfels, TX 78130.
What is the area of specialization for Kevin Michael Pernicano, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Michael Pernicano is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Kevin Michael Pernicano receive its 1083663835 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Michael Pernicano was assigned its 1083663835 by the Centers for Medicare & Medicaid Services on 2006-05-09.
As of what date were the details pertaining to Kevin Michael Pernicano last refreshed?
The information related to the Kevin Michael Pernicano, including its address, specialty, and other relevant details, was last updated on 2020-03-16.
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