Stacy J Dexter is a Professional in Morton, Illinois. Stacy J Dexter practices all healthcare services and medical treatments related to Professional. The NPI Number for Stacy J Dexter is 1659380475. The last update date is 2007-07-08.
Stacy J Dexter's current location address is 414 S Main St, Morton, Illinois. You can contact this provider via phone number 3092635565 and fax number 3092639336. The mailing address for Stacy J Dexter is 414 S Main St, Morton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy J Dexter |
|---|---|
| Address | 414 S Main St, Morton, Illinois |
| Phone Number | 3092635565 |
| Fax Number | 3092639336 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1659380475 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 414 S Main St |
|---|---|
| City | Morton |
| State | Illinois (IL) |
| Post Code | 615501939 |
| Phone Number | 3092635565 |
| Fax Number | 3092639336 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identification code issued to Stacy J Dexter by the Centers for Medicare & Medicaid Services?
The Stacy J Dexter has been assigned the NPI (National Provider Identifier) 1659380475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Stacy J Dexter?
The Stacy J Dexter is situated at 414 S Main St, in the city of Morton, state of IL, with the zip code 615501939.
What is Stacy J Dexter'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 Stacy J Dexter is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
When did the Stacy J Dexter receive its 1659380475?
The Stacy J Dexter was issued its 1659380475 on 2006-08-08, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Stacy J Dexter most recently updated or revised?
The details related to Stacy J Dexter, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.