Tiffany M Kodak in Omaha - Clinical Child & Adolescent

Tiffany M Kodak - NPI 1467621425

Tiffany M Kodak is a Clinical Child & Adolescent in Omaha, Nebraska. Tiffany M Kodak practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Tiffany M Kodak is 1467621425. The last update date is 2008-02-25.

Tiffany M Kodak's current location address is 985450 Nebraska Medical Ctr, Omaha, Nebraska. You can contact this provider via phone number 4025598943. The mailing address for Tiffany M Kodak is 985450 Nebraska Medical Ctr, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Tiffany M Kodak
Address 985450 Nebraska Medical Ctr, Omaha, Nebraska
Phone Number 4025598943
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1467621425
Provider Enumeration Date 2008-02-25
Last Updated Date 2008-02-25

Provider Mailing Address Detail

Address 985450 Nebraska Medical Ctr
City Omaha
State Nebraska (NE)
Post Code 681985450
Phone Number 4025598943
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 690
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
10025287200 NE --

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FAQs about Tiffany M Kodak

What is the unique 10-digit identifier code issued to Tiffany M Kodak by the Centers for Medicare & Medicaid Services?

The Tiffany M Kodak has been assigned the NPI (National Provider Identifier) 1467621425 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Tiffany M Kodak's physical address?

The Tiffany M Kodak is physically located at 985450 Nebraska Medical Ctr, in the city of Omaha, NE, with the postal code 681985450.

What is Tiffany M Kodak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tiffany M Kodak is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.

When was the Tiffany M Kodak's 1467621425 issued?

The Tiffany M Kodak's 1467621425 was issued on 2008-02-25.

When was the Tiffany M Kodak's information last updated?

The Tiffany M Kodak's information was last updated on 2008-02-25.

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