Dominic Idoko is a Mental Health in Southbridge, Massachusetts. Dominic Idoko practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Dominic Idoko is 1023131083. The last update date is 2007-07-08.
Dominic Idoko's current location address is 100 South St, Southbridge, Massachusetts. You can contact this provider via phone number 5087659771 and fax number 5087653147. The mailing address for Dominic Idoko is 100 South St, Southbridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominic Idoko |
|---|---|
| Address | 100 South St, Southbridge, Massachusetts |
| Phone Number | 5087659771 |
| Fax Number | 5087653147 |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1023131083 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 South St |
|---|---|
| City | Southbridge |
| State | Massachusetts (MA) |
| Post Code | 15504051 |
| Phone Number | 5087659771 |
| Fax Number | 5087653147 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to Dominic Idoko by the Centers for Medicare & Medicaid Services?
The Dominic Idoko has been issued the NPI (National Provider Identifier) 1023131083. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dominic Idoko?
The Dominic Idoko is physically situated at 100 South St, in the city of Southbridge, state of MA, with the postal code 15504051.
What is the Dominic Idoko's specialty and taxonomy code?
The Dominic Idoko's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023131083 to Dominic Idoko?
The Centers for Medicare & Medicaid Services originally issued the 1023131083 to Dominic Idoko on 2007-04-06.
As of what date were the Dominic Idoko's details last updated?
The information pertaining to the Dominic Idoko, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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