Gary Brent Ludwig in Moline - Psychologist
Gary Brent Ludwig - NPI 1528078987
Gary Brent Ludwig is a Psychologist in Moline, Illinois. Gary Brent Ludwig practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gary Brent Ludwig is 1528078987. The last update date is 2013-01-23.
Gary Brent Ludwig's current location address is 2100 52nd Ave, Moline, Illinois. You can contact this provider via phone number 3097972900 and fax number 3097972147. The mailing address for Gary Brent Ludwig is 2100 52nd Ave, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Brent Ludwig |
|---|---|
| Address | 2100 52nd Ave, Moline, Illinois |
| Phone Number | 3097972900 |
| Fax Number | 3097972147 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1528078987 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2013-01-23 |
Provider Mailing Address Detail
| Address | 2100 52nd Ave |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612656366 |
| Phone Number | 3097972900 |
| Fax Number | 3097972147 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 071-006292 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to Gary Brent Ludwig by the Centers for Medicare & Medicaid Services?
The Gary Brent Ludwig has been assigned the NPI (National Provider Identifier) 1528078987. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gary Brent Ludwig is located?
The Gary Brent Ludwig is situated at the following address: 2100 52Nd Ave, Moline, IL, 612656366.
What is Gary Brent Ludwig's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Brent Ludwig's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the Gary Brent Ludwig receive its 1528078987?
The Gary Brent Ludwig was issued its 1528078987 on 2006-08-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Gary Brent Ludwig most recently updated or revised?
The information pertaining to Gary Brent Ludwig, including its address, specialty, and other relevant details, was last updated or revised on 2013-01-23.