Lucy Idol Center, Inc in Vermilion - Psychologist
Lucy Idol Center, Inc - NPI 1962477901
Lucy Idol Center, Inc is a Psychologist in Vermilion, Ohio. Lucy Idol Center, Inc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lucy Idol Center, Inc is 1962477901. The last update date is 2020-11-02.
Lucy Idol Center, Inc's current location address is 435 Nicholson Rd, Vermilion, Ohio. You can contact this provider via phone number 4409676724 and fax number 4409674495. The mailing address for Lucy Idol Center, Inc is 435 Nicholson Rd, Vermilion, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lucy Idol Center, Inc |
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Address | 435 Nicholson Rd, Vermilion, Ohio |
Phone Number | 4409676724 |
Fax Number | 4409674495 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Peck Tad John |
Telephone Number | 4409676724 |
NPI Number Detail
NPI Number | 1962477901 |
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Provider Enumeration Date | 2006-02-22 |
Last Updated Date | 2020-11-02 |
Provider Mailing Address Detail
Address | 435 Nicholson Rd |
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City | Vermilion |
State | Ohio (OH) |
Post Code | 440892536 |
Phone Number | 4409676724 |
Fax Number | 4409674495 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
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 provider identifier assigned to Lucy Idol Center, Inc?
The Lucy Idol Center, Inc has been issued the NPI (National Provider Identifier) 1962477901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Lucy Idol Center, Inc?
The Lucy Idol Center, Inc is situated at 435 Nicholson Rd, in the city of Vermilion, state of OH, with the zip code 440892536.
What is Lucy Idol Center, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lucy Idol Center, Inc is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Lucy Idol Center, Inc receive the assignment of its 1962477901 from the Centers for Medicare & Medicaid Services?
The Lucy Idol Center, Inc was issued its 1962477901 by the Centers for Medicare & Medicaid Services on 2006-02-22.
As of what date were the Lucy Idol Center, Inc's details last updated?
The information pertaining to the Lucy Idol Center, Inc, including its address, specialty, and other details, was most recently updated on 2020-11-02.
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