Michael John Legan in Peoria - Psychologist
Michael John Legan - NPI 1992773782
Michael John Legan is a Psychologist in Peoria, Illinois. Michael John Legan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael John Legan is 1992773782. The last update date is 2007-07-08.
Michael John Legan's current location address is 5409 N Knoxville, Peoria, Illinois. You can contact this provider via phone number 3096910420 and fax number 3096910520. The mailing address for Michael John Legan is 5409 N Knoxville, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Legan |
|---|---|
| Address | 5409 N Knoxville, Peoria, Illinois |
| Phone Number | 3096910420 |
| Fax Number | 3096910520 |
| Sole Proprietor | X |
| Credentials | MS LCPC |
NPI Number Detail
| NPI Number | 1992773782 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5409 N Knoxville |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61614 |
| Phone Number | 3096910420 |
| Fax Number | 3096910520 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 Michael John Legan by the Centers for Medicare & Medicaid Services?
The Michael John Legan has been assigned the NPI (National Provider Identifier) 1992773782. 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 Michael John Legan's facilities are situated?
The facilities of Michael John Legan are physically located at the following address: 5409 N Knoxville, Peoria, IL, 61614.
What is the Michael John Legan's specialty and taxonomy code?
The Michael John Legan's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992773782 to Michael John Legan?
The Centers for Medicare & Medicaid Services originally issued the 1992773782 to Michael John Legan on 2006-03-09.
As of what date were the details related to Michael John Legan most recently updated or revised?
The information pertaining to Michael John Legan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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