Terry Lou Stagman is a Clinical in Oak Park, Illinois. Terry Lou Stagman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terry Lou Stagman is 1295884559. The last update date is 2008-07-25.
Terry Lou Stagman's current location address is 1100 Lake Street, Oak Park, Illinois. You can contact this provider via phone number 3125652838 and fax number 3122070162. The mailing address for Terry Lou Stagman is 1100 Lake Street, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Lou Stagman |
|---|---|
| Address | 1100 Lake Street, Oak Park, Illinois |
| Phone Number | 3125652838 |
| Fax Number | 3122070162 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1295884559 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
| Address | 1100 Lake Street |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603011015 |
| Phone Number | 3125652838 |
| Fax Number | 3122070162 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71002979 |
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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 identifier code issued to Terry Lou Stagman by the Centers for Medicare & Medicaid Services?
The Terry Lou Stagman has been assigned the NPI (National Provider Identifier) 1295884559. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Terry Lou Stagman is physically located?
The Terry Lou Stagman is situated at the following address: 1100 Lake Street, Oak Park, IL 603011015.
What is Terry Lou Stagman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Terry Lou Stagman is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1295884559 assigned to Terry Lou Stagman?
The Terry Lou Stagman was issued its 1295884559 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Terry Lou Stagman's information last updated?
The Terry Lou Stagman's information was last updated on 2008-07-25.