Neurobehavioral Health Clinic in Glendale - Clinical Child & Adolescent
Neurobehavioral Health Clinic - NPI 1245425354
Neurobehavioral Health Clinic is a Clinical Child & Adolescent in Glendale, Wisconsin. Neurobehavioral Health Clinic practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Neurobehavioral Health Clinic is 1245425354. The last update date is 2007-09-11.
Neurobehavioral Health Clinic's current location address is 6110 N Port Washington Rd, Glendale, Wisconsin. You can contact this provider via phone number 4148030231. The mailing address for Neurobehavioral Health Clinic is 6110 N Port Washington Rd, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Neurobehavioral Health Clinic |
|---|---|
| Address | 6110 N Port Washington Rd, Glendale, Wisconsin |
| Phone Number | 4148030231 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rennie M Kimberly |
| Credentials | PHD |
| Telephone Number | 4148030231 |
NPI Number Detail
| NPI Number | 1245425354 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 6110 N Port Washington Rd |
|---|---|
| City | Glendale |
| State | Wisconsin (WI) |
| Post Code | 532174308 |
| Phone Number | 4148030231 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2478 |
|
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 unique 10-digit identifier code issued to Neurobehavioral Health Clinic by the Centers for Medicare & Medicaid Services?
The Neurobehavioral Health Clinic has been assigned the NPI (National Provider Identifier) 1245425354 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Neurobehavioral Health Clinic is located?
The Neurobehavioral Health Clinic is situated at the following address: 6110 N Port Washington Rd, Glendale, WI, 532174308.
What is Neurobehavioral Health Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Neurobehavioral Health Clinic is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245425354 to Neurobehavioral Health Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1245425354 to Neurobehavioral Health Clinic on 2007-09-11.
When was the information related to Neurobehavioral Health Clinic most recently updated or refreshed?
The details pertaining to the Neurobehavioral Health Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-11.
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