Dennis J Niswonger, Psy.D, S.C in Orland Park - Clinical
Dennis J Niswonger, Psy.D, S.C - NPI 1760656581
Dennis J Niswonger, Psy.D, S.C is a Clinical in Orland Park, Illinois. Dennis J Niswonger, Psy.D, S.C practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dennis J Niswonger, Psy.D, S.C is 1760656581. The last update date is 2010-02-18.
Dennis J Niswonger, Psy.D, S.C's current location address is 15040 S Ravinia Ave, Orland Park, Illinois. You can contact this provider via phone number 7083643232 and fax number 7083643233. The mailing address for Dennis J Niswonger, Psy.D, S.C is 15040 S Ravinia Ave, Orland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dennis J Niswonger, Psy.D, S.C |
|---|---|
| Address | 15040 S Ravinia Ave, Orland Park, Illinois |
| Phone Number | 7083643232 |
| Fax Number | 7083643233 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Niswonger J Dennis |
| Credentials | PSY.D |
| Telephone Number | 7083643232 |
NPI Number Detail
| NPI Number | 1760656581 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2010-02-18 |
Provider Mailing Address Detail
| Address | 15040 S Ravinia Ave |
|---|---|
| City | Orland Park |
| State | Illinois (IL) |
| Post Code | 604623194 |
| Phone Number | 7083643232 |
| Fax Number | 7083643233 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-007045 |
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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 |
|---|---|---|---|
| 1639275 | IL | BLUECROSS/BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dennis J Niswonger, Psy.D, S.C by the Centers for Medicare & Medicaid Services?
The Dennis J Niswonger, Psy.D, S.C has been assigned the NPI (National Provider Identifier) 1760656581 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Dennis J Niswonger, Psy.D, S.C is geographically located?
The Dennis J Niswonger, Psy.D, S.C is physically situated at the following location: 15040 S Ravinia Ave, Orland Park, IL, 604623194.
What is Dennis J Niswonger, Psy.D, S.C's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dennis J Niswonger, Psy.D, S.C's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760656581 to Dennis J Niswonger, Psy.D, S.C?
The Centers for Medicare & Medicaid Services originally issued the 1760656581 to Dennis J Niswonger, Psy.D, S.C on 2008-04-14.
As of what date was the information pertaining to Dennis J Niswonger, Psy.D, S.C, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dennis J Niswonger, Psy.D, S.C, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-02-18.
NPI Number: 1982607784
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