Robert Fane Agency, Llcp in Bowling Green - Clinical Child & Adolescent
Robert Fane Agency, Llcp - NPI 1639341126
Robert Fane Agency, Llcp is a Clinical Child & Adolescent in Bowling Green, Kentucky. Robert Fane Agency, Llcp practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Robert Fane Agency, Llcp is 1639341126. The last update date is 2014-10-21.
Robert Fane Agency, Llcp's current location address is 1011 Lehman Ave, Bowling Green, Kentucky. You can contact this provider via phone number 2703939833 and fax number 2703939835. The mailing address for Robert Fane Agency, Llcp is 1011 Lehman Ave, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert Fane Agency, Llcp |
|---|---|
| Address | 1011 Lehman Ave, Bowling Green, Kentucky |
| Phone Number | 2703939833 |
| Fax Number | 2703939835 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fane Bruce Robert |
| Credentials | ED.D |
| Telephone Number | 2703939833 |
NPI Number Detail
| NPI Number | 1639341126 |
|---|---|
| Provider Enumeration Date | 2008-03-25 |
| Last Updated Date | 2014-10-21 |
Provider Mailing Address Detail
| Address | 1011 Lehman Ave |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421036515 |
| Phone Number | 2703939833 |
| Fax Number | 2703939835 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 1104 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29200912 | KY | -- | |
| 29100914 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Fane Agency, Llcp by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Fane Agency, Llcp has been assigned the NPI (National Provider Identifier) 1639341126. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Robert Fane Agency, Llcp is physically located?
The Robert Fane Agency, Llcp is situated at the following address: 1011 Lehman Ave, Bowling Green, KY 421036515.
What is the area of specialization for Robert Fane Agency, Llcp, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert Fane Agency, Llcp is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
When did Robert Fane Agency, Llcp receive its 1639341126 assignment?
The Robert Fane Agency, Llcp was assigned its 1639341126 on 2008-03-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Robert Fane Agency, Llcp last refreshed?
The information related to the Robert Fane Agency, Llcp, including its address, specialty, and other relevant details, was last updated on 2014-10-21.
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