Brannon & Brannon Psychological Services Pa in Rexburg - Adolescent And Children Mental Health
Brannon & Brannon Psychological Services Pa - NPI 1023141116
Brannon & Brannon Psychological Services Pa is a Adolescent And Children Mental Health in Rexburg, Idaho. Brannon & Brannon Psychological Services Pa practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Brannon & Brannon Psychological Services Pa is 1023141116. The last update date is 2019-10-29.
Brannon & Brannon Psychological Services Pa's current location address is 534 Trejo Street, Rexburg, Idaho. You can contact this provider via phone number 2083563776 and fax number 2083569498. The mailing address for Brannon & Brannon Psychological Services Pa is 534 Trejo Street, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brannon & Brannon Psychological Services Pa |
|---|---|
| Address | 534 Trejo Street, Rexburg, Idaho |
| Phone Number | 2083563776 |
| Fax Number | 2083569498 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Brannon M James |
| Credentials | ED.D. |
| Telephone Number | 2083563776 |
NPI Number Detail
| NPI Number | 1023141116 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2019-10-29 |
Provider Mailing Address Detail
| Address | 534 Trejo Street |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 83440 |
| Phone Number | 2083563776 |
| Fax Number | 2083569498 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2803600 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brannon & Brannon Psychological Services Pa by the Centers for Medicare & Medicaid Services?
The Brannon & Brannon Psychological Services Pa has been assigned the NPI (National Provider Identifier) 1023141116. 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 share the complete physical location address where Brannon & Brannon Psychological Services Pa's facilities are situated?
The facilities of Brannon & Brannon Psychological Services Pa are physically located at the following address: 534 Trejo Street, Rexburg, ID, 83440.
What is Brannon & Brannon Psychological Services Pa'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 Brannon & Brannon Psychological Services Pa is Adolescent And Children Mental Health, and the taxonomy classification code that categorizes this area of expertise is 261Qm0855X.
On what date did the Brannon & Brannon Psychological Services Pa receive the assignment of its 1023141116 from the Centers for Medicare & Medicaid Services?
The Brannon & Brannon Psychological Services Pa was issued its 1023141116 by the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the information regarding Brannon & Brannon Psychological Services Pa most recently updated?
The details pertaining to the Brannon & Brannon Psychological Services Pa, including its address, specialty, and other relevant information, were last refreshed on 2019-10-29.