Julie Lynn Ruddy is a Clinical in Great Lakes, Illinois. Julie Lynn Ruddy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie Lynn Ruddy is 1740251214. The last update date is 2007-07-08.
Julie Lynn Ruddy's current location address is 3420 Illinois St, Great Lakes, Illinois. You can contact this provider via phone number 8476887406 and fax number 8476887403. The mailing address for Julie Lynn Ruddy is 3420 Illinois St, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Lynn Ruddy |
|---|---|
| Address | 3420 Illinois St, Great Lakes, Illinois |
| Phone Number | 8476887406 |
| Fax Number | 8476887403 |
| Sole Proprietor | X |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1740251214 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3420 Illinois St |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 600883120 |
| Phone Number | 8476887406 |
| Fax Number | 8476887403 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 Julie Lynn Ruddy's 1740251214?
The Julie Lynn Ruddy's NPI (National Provider Identifier) Number is 1740251214. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Julie Lynn Ruddy is physically located?
The Julie Lynn Ruddy is physically situated at the following address: 3420 Illinois St, Great Lakes, IL, 600883120.
What is Julie Lynn Ruddy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Julie Lynn Ruddy is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Julie Lynn Ruddy receive the assignment of its 1740251214 from the Centers for Medicare & Medicaid Services?
The Julie Lynn Ruddy was issued its 1740251214 by the Centers for Medicare & Medicaid Services on 2006-01-31.
As of what date was the information regarding Julie Lynn Ruddy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Julie Lynn Ruddy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.