Bradley J Engwall in Berkeley - Child & Adolescent Psychiatry
Bradley J Engwall - NPI 1366588261
Bradley J Engwall is a Child & Adolescent Psychiatry in Berkeley, California. Bradley J Engwall practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Bradley J Engwall is 1366588261. The last update date is 2014-01-08.
Bradley J Engwall's current location address is 2020 Milvia St, Berkeley, California. You can contact this provider via phone number 5105591819 and fax number 5105591819. The mailing address for Bradley J Engwall is 2020 Milvia St, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley J Engwall |
|---|---|
| Address | 2020 Milvia St, Berkeley, California |
| Phone Number | 5105591819 |
| Fax Number | 5105591819 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366588261 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2014-01-08 |
Provider Mailing Address Detail
| Address | 2020 Milvia St |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947042685 |
| Phone Number | 5105591819 |
| Fax Number | 5105591819 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | A62477 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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What is the unique 10-digit identifier code issued to Bradley J Engwall by the Centers for Medicare & Medicaid Services?
The Bradley J Engwall has been assigned the NPI (National Provider Identifier) 1366588261 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Bradley J Engwall is geographically located?
The Bradley J Engwall is physically situated at the following location: 2020 Milvia St, Berkeley, CA, 947042685.
What is Bradley J Engwall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley J Engwall's specialized field of practice is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0804X.
On what date did the Bradley J Engwall receive its 1366588261 assignment from the Centers for Medicare & Medicaid Services?
The Bradley J Engwall was assigned its 1366588261 by the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the Bradley J Engwall's information last updated?
The Bradley J Engwall's information was last updated on 2014-01-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN