Phillip Loren Zediker in Bradley - Clinical
Phillip Loren Zediker - NPI 1912018383
Phillip Loren Zediker is a Clinical in Bradley, Illinois. Phillip Loren Zediker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phillip Loren Zediker is 1912018383. The last update date is 2013-02-27.
Phillip Loren Zediker's current location address is 525 E North St Ste B, Bradley, Illinois. You can contact this provider via phone number 8159330667 and fax number 8159330665. The mailing address for Phillip Loren Zediker is 525 E North St Ste B, Bradley, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Loren Zediker |
|---|---|
| Address | 525 E North St Ste B, Bradley, Illinois |
| Phone Number | 8159330667 |
| Fax Number | 8159330665 |
| Sole Proprietor | N |
| Credentials | PH D |
NPI Number Detail
| NPI Number | 1912018383 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2013-02-27 |
Provider Mailing Address Detail
| Address | 525 E North St Ste B |
|---|---|
| City | Bradley |
| State | Illinois (IL) |
| Post Code | 609151186 |
| Phone Number | 8159330667 |
| Fax Number | 8159330665 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71001596 |
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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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What is the unique 10-digit identifier code issued to Phillip Loren Zediker by the Centers for Medicare & Medicaid Services?
The Phillip Loren Zediker has been assigned the NPI (National Provider Identifier) 1912018383 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Phillip Loren Zediker is located?
The Phillip Loren Zediker is situated at the following address: 525 E North St Ste B, Bradley, IL, 609151186.
What is Phillip Loren Zediker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phillip Loren Zediker is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912018383 to Phillip Loren Zediker?
The Centers for Medicare & Medicaid Services originally issued the 1912018383 to Phillip Loren Zediker on 2006-08-31.
As of what date were the details pertaining to Phillip Loren Zediker last refreshed?
The information related to the Phillip Loren Zediker, including its address, specialty, and other relevant details, was last updated on 2013-02-27.