Stephen Rex Brethauer in Wray - Clinical
Stephen Rex Brethauer - NPI 1356411425
Stephen Rex Brethauer is a Clinical in Wray, Colorado. Stephen Rex Brethauer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen Rex Brethauer is 1356411425. The last update date is 2007-07-08.
Stephen Rex Brethauer's current location address is 30288 County Road 25, Wray, Colorado. You can contact this provider via phone number 9703324555 and fax number 9703324040. The mailing address for Stephen Rex Brethauer is 30288 County Road 25, Wray, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Rex Brethauer |
|---|---|
| Address | 30288 County Road 25, Wray, Colorado |
| Phone Number | 9703324555 |
| Fax Number | 9703324040 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1356411425 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30288 County Road 25 |
|---|---|
| City | Wray |
| State | Colorado (CO) |
| Post Code | 807589383 |
| Phone Number | 9703324555 |
| Fax Number | 9703324040 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 987007 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Stephen Rex Brethauer by the Centers for Medicare & Medicaid Services?
The Stephen Rex Brethauer has been issued the NPI (National Provider Identifier) 1356411425 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stephen Rex Brethauer is located?
The Stephen Rex Brethauer is situated at the following address: 30288 County Road 25, Wray, CO, 807589383.
What is the Stephen Rex Brethauer's specialty and taxonomy code?
The Stephen Rex Brethauer's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Stephen Rex Brethauer receive its 1356411425 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Rex Brethauer was assigned its 1356411425 by the Centers for Medicare & Medicaid Services on 2006-11-08.
When was the information regarding Stephen Rex Brethauer most recently updated?
The details pertaining to the Stephen Rex Brethauer, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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