Matthew J. Mordhorst in Peoria - Clinical
Matthew J. Mordhorst - NPI 1609892124
Matthew J. Mordhorst is a Clinical in Peoria, Illinois. Matthew J. Mordhorst practices all healthcare services and medical treatments related to Clinical. The NPI Number for Matthew J. Mordhorst is 1609892124. The last update date is 2007-07-08.
Matthew J. Mordhorst's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096557378 and fax number 3096554609. The mailing address for Matthew J. Mordhorst is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew J. Mordhorst |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096557378 |
| Fax Number | 3096554609 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1609892124 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096557378 |
| Fax Number | 3096554609 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 |
|---|---|---|---|
| 207414 | MEDICARE GROUP NO. |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Matthew J. Mordhorst by the Centers for Medicare & Medicaid Services?
The Matthew J. Mordhorst has been assigned the NPI (National Provider Identifier) 1609892124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Matthew J. Mordhorst located?
The Matthew J. Mordhorst is located at 530 Ne Glen Oak Ave, Peoria, IL 616370001.
What is Matthew J. Mordhorst's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Matthew J. Mordhorst is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did Matthew J. Mordhorst receive its 1609892124 assignment?
The Matthew J. Mordhorst was assigned its 1609892124 on 2006-07-15, which is the date when this unique identifier was issued to the organization.
When was the information related to Matthew J. Mordhorst most recently updated or refreshed?
The details pertaining to the Matthew J. Mordhorst, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.