Theodore James Chapin in Peoria - Clinical
Theodore James Chapin - NPI 1255393039
Theodore James Chapin is a Clinical in Peoria, Illinois. Theodore James Chapin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theodore James Chapin is 1255393039. The last update date is 2007-07-08.
Theodore James Chapin's current location address is 4940 N Weaverridge Blvd, Peoria, Illinois. You can contact this provider via phone number 3096890681. The mailing address for Theodore James Chapin is 4940 N Weaverridge Blvd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore James Chapin |
|---|---|
| Address | 4940 N Weaverridge Blvd, Peoria, Illinois |
| Phone Number | 3096890681 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1255393039 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4940 N Weaverridge Blvd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616158910 |
| Phone Number | 3096890681 |
| Fax Number |
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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What is the unique 10-digit identification code issued to Theodore James Chapin by the Centers for Medicare & Medicaid Services?
The Theodore James Chapin has been assigned the NPI (National Provider Identifier) 1255393039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Theodore James Chapin is located?
The Theodore James Chapin is situated at the following address: 4940 N Weaverridge Blvd, Peoria, IL, 616158910.
What is Theodore James Chapin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theodore James Chapin's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date was the 1255393039 assigned to Theodore James Chapin?
The Theodore James Chapin was issued its 1255393039 on 2006-04-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Theodore James Chapin most recently updated or revised?
The information pertaining to Theodore James Chapin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.