Illinois State University in Normal - Clinical
Illinois State University - NPI 1770615502
Illinois State University is a Clinical in Normal, Illinois. Illinois State University practices all healthcare services and medical treatments related to Clinical. The NPI Number for Illinois State University is 1770615502. The last update date is 2020-08-22.
Illinois State University's current location address is 408 Fairchild Hall, Normal, Illinois. You can contact this provider via phone number 3094385629 and fax number 3094387476. The mailing address for Illinois State University is 408 Fairchild Hall, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Illinois State University |
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Address | 408 Fairchild Hall, Normal, Illinois |
Phone Number | 3094385629 |
Fax Number | 3094387476 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CLINICAL P |
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Authorized Official Name | Huber Jane Brenda |
Credentials | PH.D. |
Telephone Number | 3094385629 |
NPI Number Detail
NPI Number | 1770615502 |
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Provider Enumeration Date | 2007-03-09 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 408 Fairchild Hall |
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City | Normal |
State | Illinois (IL) |
Post Code | 61790 |
Phone Number | 3094385629 |
Fax Number | 3094387476 |
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 |
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What is the unique 10-digit identification code issued to Illinois State University by the Centers for Medicare & Medicaid Services?
The Illinois State University has been assigned the NPI (National Provider Identifier) 1770615502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Illinois State University?
The Illinois State University is situated at 408 Fairchild Hall, in the city of Normal, state of IL, with the zip code 61790.
What is the area of specialization for Illinois State University, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Illinois State University is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When was the Illinois State University's 1770615502 issued?
The Illinois State University's 1770615502 was issued on 2007-03-09.
As of what date were the details pertaining to Illinois State University last refreshed?
The information related to the Illinois State University, including its address, specialty, and other relevant details, was last updated on 2020-08-22.