Thomas Boone Dudgeon in Rockford - Clinical
Thomas Boone Dudgeon - NPI 1184752602
Thomas Boone Dudgeon is a Clinical in Rockford, Illinois. Thomas Boone Dudgeon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Boone Dudgeon is 1184752602. The last update date is 2007-07-08.
Thomas Boone Dudgeon's current location address is 6066 Strathmoor Dr, Rockford, Illinois. You can contact this provider via phone number 8153999303 and fax number 8153999306. The mailing address for Thomas Boone Dudgeon is 6066 Strathmoor Dr, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Boone Dudgeon |
|---|---|
| Address | 6066 Strathmoor Dr, Rockford, Illinois |
| Phone Number | 8153999303 |
| Fax Number | 8153999306 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1184752602 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6066 Strathmoor Dr |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611076633 |
| Phone Number | 8153999303 |
| Fax Number | 8153999306 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
|
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 |
|
Post Comment/ Review Below
What is the Thomas Boone Dudgeon's unique identification number?
The Thomas Boone Dudgeon has been assigned the NPI (National Provider Identifier) Number 1184752602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Thomas Boone Dudgeon's facilities are geographically located?
The facilities of Thomas Boone Dudgeon are physically situated at the following location: 6066 Strathmoor Dr, Rockford, IL, 611076633.
What is Thomas Boone Dudgeon's area of expertise and its corresponding taxonomy classification?
The Thomas Boone Dudgeon's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When was the Thomas Boone Dudgeon's 1184752602 issued?
The Thomas Boone Dudgeon's 1184752602 was issued on 2007-02-28.
As of what date were the details related to Thomas Boone Dudgeon most recently updated or revised?
The information pertaining to Thomas Boone Dudgeon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.