Bonnie Louise Merritt in Oakland - Forensic

Bonnie Louise Merritt - NPI 1528101219

Bonnie Louise Merritt is a Forensic in Oakland, California. Bonnie Louise Merritt practices all healthcare services and medical treatments related to Forensic. The NPI Number for Bonnie Louise Merritt is 1528101219. The last update date is 2010-08-18.

Bonnie Louise Merritt's current location address is 1501 Fruitvale Ave, Oakland, California. You can contact this provider via phone number 5105356200 and fax number 5105354167. The mailing address for Bonnie Louise Merritt is 1501 Fruitvale Ave, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonnie Louise Merritt
Address 1501 Fruitvale Ave, Oakland, California
Phone Number 5105356200
Fax Number 5105354167
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1528101219
Provider Enumeration Date 2007-02-14
Last Updated Date 2010-08-18

Provider Mailing Address Detail

Address 1501 Fruitvale Ave
City Oakland
State California (CA)
Post Code 946012322
Phone Number 5105356200
Fax Number 5105354167

Provider's Primary Taxonomy Detail

Speciality Forensic
Taxonomy 103Tf0200X
Definition:
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5519 CA BEHAVIORAL HEALTH CARE SE
05-1063 CA FQHC MEDICARE PART A
ZZZ29799Z CA FQHC MEDICARE PART B

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FAQs about Bonnie Louise Merritt

What is the unique identifier code issued to Bonnie Louise Merritt by the Centers for Medicare & Medicaid Services?

The Bonnie Louise Merritt has been assigned the NPI (National Provider Identifier) 1528101219. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Bonnie Louise Merritt is physically located?

The Bonnie Louise Merritt is physically situated at the following address: 1501 Fruitvale Ave, Oakland, CA, 946012322.

What is Bonnie Louise Merritt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bonnie Louise Merritt is Forensic, and the taxonomy code that classifies this field of practice is 103Tf0200X.

When did Bonnie Louise Merritt receive its 1528101219 assignment?

The Bonnie Louise Merritt was assigned its 1528101219 on 2007-02-14, which is the date when this unique identifier was issued to the organization.

As of what date were the Bonnie Louise Merritt's details last updated?

The information pertaining to the Bonnie Louise Merritt, including its address, specialty, and other details, was most recently updated on 2010-08-18.

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