Juergen Erich Korbanka in Provo - Clinical
Juergen Erich Korbanka - NPI 1386600450
Juergen Erich Korbanka is a Clinical in Provo, Utah. Juergen Erich Korbanka practices all healthcare services and medical treatments related to Clinical. The NPI Number for Juergen Erich Korbanka is 1386600450. The last update date is 2007-07-08.
Juergen Erich Korbanka's current location address is 750 North 200 West, Provo, Utah. You can contact this provider via phone number 8013734760 and fax number 8013730639. The mailing address for Juergen Erich Korbanka is 750 North 200 West, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juergen Erich Korbanka |
|---|---|
| Address | 750 North 200 West, Provo, Utah |
| Phone Number | 8013734760 |
| Fax Number | 8013730639 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1386600450 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 750 North 200 West |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 84601 |
| Phone Number | 8013734760 |
| Fax Number | 8013730639 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3217522501 |
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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 Juergen Erich Korbanka by the Centers for Medicare & Medicaid Services?
The Juergen Erich Korbanka has been assigned the NPI (National Provider Identifier) 1386600450. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Juergen Erich Korbanka located?
The Juergen Erich Korbanka is located at 750 North 200 West, Provo, UT 84601.
What is Juergen Erich Korbanka's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Juergen Erich Korbanka is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Juergen Erich Korbanka receive the assignment of its 1386600450 from the Centers for Medicare & Medicaid Services?
The Juergen Erich Korbanka was issued its 1386600450 by the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the information regarding Juergen Erich Korbanka most recently updated?
The details pertaining to the Juergen Erich Korbanka, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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