Donald R Legan is a Clinical in Peoria, Illinois. Donald R Legan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donald R Legan is 1467429605. The last update date is 2007-07-08.
Donald R Legan's current location address is 5409 N Knoxville, Peoria, Illinois. You can contact this provider via phone number 3096910420 and fax number 3096910520. The mailing address for Donald R Legan is 5409 N Knoxville, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald R Legan |
|---|---|
| Address | 5409 N Knoxville, Peoria, Illinois |
| Phone Number | 3096910420 |
| Fax Number | 3096910520 |
| Sole Proprietor | X |
| Credentials | EDD |
NPI Number Detail
| NPI Number | 1467429605 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5409 N Knoxville |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61614 |
| Phone Number | 3096910420 |
| Fax Number | 3096910520 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71002085 |
|
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 |
|---|---|---|---|
| 7220997 | BCBS | ||
| L015956 | CHAMPUS |
Post Comment/ Review Below
Could you kindly provide the complete physical address where Donald R Legan's facilities are geographically located?
The facilities of Donald R Legan are physically situated at the following location: 5409 N Knoxville, Peoria, IL, 61614.
What is Donald R Legan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Donald R Legan's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did Donald R Legan receive its 1467429605 assignment from the Centers for Medicare & Medicaid Services?
The Donald R Legan was assigned its 1467429605 on 2006-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1467429605 to Donald R Legan?
The Centers for Medicare & Medicaid Services assigned the 1467429605 to Donald R Legan on 2006-03-07.
As of what date was the information regarding Donald R Legan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Donald R Legan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.