Keegan Tangeman in Ventura - Clinical Child & Adolescent
Keegan Tangeman - NPI 1407998586
Keegan Tangeman is a Clinical Child & Adolescent in Ventura, California. Keegan Tangeman practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Keegan Tangeman is 1407998586. The last update date is 2015-01-16.
Keegan Tangeman's current location address is 4880 Market St, Ventura, California. You can contact this provider via phone number 8056447827 and fax number 8776447545. The mailing address for Keegan Tangeman is 4880 Market St, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keegan Tangeman |
|---|---|
| Address | 4880 Market St, Ventura, California |
| Phone Number | 8056447827 |
| Fax Number | 8776447545 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1407998586 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2015-01-16 |
Provider Mailing Address Detail
| Address | 4880 Market St |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930037783 |
| Phone Number | 8056447827 |
| Fax Number | 8776447545 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY 23288 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the Keegan Tangeman's unique identification number?
The Keegan Tangeman has been assigned the NPI (National Provider Identifier) Number 1407998586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Keegan Tangeman located?
The Keegan Tangeman is located at 4880 Market St, Ventura, CA 930037783.
What is the Keegan Tangeman's specialty and taxonomy code?
The Keegan Tangeman's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407998586 to Keegan Tangeman?
The Keegan Tangeman received its 1407998586 assignment from the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date was the information regarding Keegan Tangeman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keegan Tangeman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-16.
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