David Edward Victorson in Glenview - Clinical
David Edward Victorson - NPI 1609043553
David Edward Victorson is a Clinical in Glenview, Illinois. David Edward Victorson practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Edward Victorson is 1609043553. The last update date is 2008-05-09.
David Edward Victorson's current location address is 2400 Chestnut Ave, Glenview, Illinois. You can contact this provider via phone number 8476573540 and fax number 8476573530. The mailing address for David Edward Victorson is 2400 Chestnut Ave, Glenview, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Edward Victorson |
|---|---|
| Address | 2400 Chestnut Ave, Glenview, Illinois |
| Phone Number | 8476573540 |
| Fax Number | 8476573530 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1609043553 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 2400 Chestnut Ave |
|---|---|
| City | Glenview |
| State | Illinois (IL) |
| Post Code | 600268321 |
| Phone Number | 8476573540 |
| Fax Number | 8476573530 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-007103 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71007103 | IL | IL STATE LIC |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Edward Victorson by the Centers for Medicare & Medicaid Services?
The David Edward Victorson has been assigned the NPI (National Provider Identifier) 1609043553 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where David Edward Victorson is physically located?
The David Edward Victorson is situated at the following address: 2400 Chestnut Ave, Glenview, IL 600268321.
What is David Edward Victorson's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Edward Victorson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609043553 to David Edward Victorson?
The Centers for Medicare & Medicaid Services originally issued the 1609043553 to David Edward Victorson on 2008-05-09.
When was the information pertaining to David Edward Victorson most recently updated or revised?
The details related to David Edward Victorson, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-09.