M Kirk Dougher is a Clinical in Provo, Utah. M Kirk Dougher practices all healthcare services and medical treatments related to Clinical. The NPI Number for M Kirk Dougher is 1457415432. The last update date is 2007-07-08.
M Kirk Dougher's current location address is 1500 Wsc, Provo, Utah. You can contact this provider via phone number 8013199226 and fax number 8014220173. The mailing address for M Kirk Dougher is 1500 Wsc, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | M Kirk Dougher |
|---|---|
| Address | 1500 Wsc, Provo, Utah |
| Phone Number | 8013199226 |
| Fax Number | 8014220173 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457415432 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1500 Wsc |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 84602 |
| Phone Number | 8013199226 |
| Fax Number | 8014220173 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4849737-2501 |
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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 M Kirk Dougher by the Centers for Medicare & Medicaid Services?
The M Kirk Dougher has been assigned the NPI (National Provider Identifier) 1457415432. 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 M Kirk Dougher located?
The M Kirk Dougher is located at 1500 Wsc, Provo, UT 84602.
What is M Kirk Dougher's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for M Kirk Dougher is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did M Kirk Dougher receive its 1457415432 assignment from the Centers for Medicare & Medicaid Services?
The M Kirk Dougher was assigned its 1457415432 on 2006-12-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the M Kirk Dougher's details last updated?
The information pertaining to the M Kirk Dougher, including its address, specialty, and other details, was most recently updated on 2007-07-08.