Toby Bourisseau in Cleveland - Psychiatric/mental Health, Child & Adolescent
Toby Bourisseau - NPI 1790807006
Toby Bourisseau is a Psychiatric/mental Health, Child & Adolescent in Cleveland, Ohio. Toby Bourisseau practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Toby Bourisseau is 1790807006. The last update date is 2020-12-24.
Toby Bourisseau's current location address is 10524 Euclid Ave Ste 1155a, Cleveland, Ohio. You can contact this provider via phone number 2168443881. The mailing address for Toby Bourisseau is 10524 Euclid Ave Ste 1155a, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Toby Bourisseau |
|---|---|
| Address | 10524 Euclid Ave Ste 1155a, Cleveland, Ohio |
| Phone Number | 2168443881 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNS |
NPI Number Detail
| NPI Number | 1790807006 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2020-12-24 |
Provider Mailing Address Detail
| Address | 10524 Euclid Ave Ste 1155a |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441062205 |
| Phone Number | 2168443881 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Child & Adolescent |
|---|---|
| Taxonomy | 364Sp0807X |
| Licence No | 8218 |
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Definition: A psychiatric clinical nurse specialist expert in caring for infants, children and adolescents. |
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What is the unique 10-digit identifier code assigned to Toby Bourisseau by the Centers for Medicare & Medicaid Services?
The Toby Bourisseau has been issued the NPI (National Provider Identifier) 1790807006 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 Toby Bourisseau is located?
The Toby Bourisseau is situated at the following address: 10524 Euclid Ave Ste 1155A, Cleveland, OH, 441062205.
What is Toby Bourisseau'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 Toby Bourisseau is Psychiatric/mental Health, Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 364Sp0807X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790807006 to Toby Bourisseau?
The Toby Bourisseau received its 1790807006 assignment from the Centers for Medicare & Medicaid Services on 2007-04-06.
As of what date were the details related to Toby Bourisseau most recently updated or revised?
The information pertaining to Toby Bourisseau, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-24.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY