Angela Deon Gillham in Naperville - Clinical
Angela Deon Gillham - NPI 1194878405
Angela Deon Gillham is a Clinical in Naperville, Illinois. Angela Deon Gillham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Angela Deon Gillham is 1194878405. The last update date is 2007-07-08.
Angela Deon Gillham's current location address is 800 W 5th Ave, Naperville, Illinois. You can contact this provider via phone number 3124984113. The mailing address for Angela Deon Gillham is 800 W 5th Ave, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Angela Deon Gillham |
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Address | 800 W 5th Ave, Naperville, Illinois |
Phone Number | 3124984113 |
Fax Number | |
Sole Proprietor | N |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1194878405 |
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Provider Enumeration Date | 2007-01-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 800 W 5th Ave |
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City | Naperville |
State | Illinois (IL) |
Post Code | 605638965 |
Phone Number | 3124984113 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2232522 | IL | BLUE CROSS BLUE SHIELD | |
2254200 | IL | CIGNA | |
266818 | IL | COMPSYCH |
Post Comment/ Review Below
What is the unique identifier code issued to Angela Deon Gillham by the Centers for Medicare & Medicaid Services (CMS)?
The Angela Deon Gillham has been assigned the NPI (National Provider Identifier) 1194878405. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Angela Deon Gillham's facilities are situated?
The facilities of Angela Deon Gillham are physically located at the following address: 800 W 5Th Ave, Naperville, IL, 605638965.
What is Angela Deon Gillham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Angela Deon Gillham is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Angela Deon Gillham receive its 1194878405 assignment from the Centers for Medicare & Medicaid Services?
The Angela Deon Gillham was assigned its 1194878405 by the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details related to Angela Deon Gillham most recently updated or revised?
The information pertaining to Angela Deon Gillham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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