Larry W. Neidigh is a Clinical in Orange Park, Florida. Larry W. Neidigh practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry W. Neidigh is 1508831322. The last update date is 2019-03-07.
Larry W. Neidigh's current location address is 1543 Kingsley Ave, Orange Park, Florida. You can contact this provider via phone number 9042693324 and fax number 9042642302. The mailing address for Larry W. Neidigh is 1543 Kingsley Ave, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry W. Neidigh |
|---|---|
| Address | 1543 Kingsley Ave, Orange Park, Florida |
| Phone Number | 9042693324 |
| Fax Number | 9042642302 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1508831322 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2019-03-07 |
Provider Mailing Address Detail
| Address | 1543 Kingsley Ave |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320734535 |
| Phone Number | 9042693324 |
| Fax Number | 9042642302 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY4090 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Larry W. Neidigh by the Centers for Medicare & Medicaid Services?
The Larry W. Neidigh has been assigned the NPI (National Provider Identifier) 1508831322. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larry W. Neidigh?
The Larry W. Neidigh is situated at 1543 Kingsley Ave, in the city of Orange Park, state of FL, with the zip code 320734535.
What is the Larry W. Neidigh's specialty and taxonomy code?
The Larry W. Neidigh's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508831322 to Larry W. Neidigh?
The Centers for Medicare & Medicaid Services assigned the 1508831322 to Larry W. Neidigh on 2006-02-23.
As of what date was the information pertaining to Larry W. Neidigh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry W. Neidigh, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-03-07.