Edward Spencer Landreth in Skokie - Clinical
Edward Spencer Landreth - NPI 1104866946
Edward Spencer Landreth is a Clinical in Skokie, Illinois. Edward Spencer Landreth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward Spencer Landreth is 1104866946. The last update date is 2016-04-06.
Edward Spencer Landreth's current location address is 4709 Golf Road, Skokie, Illinois. You can contact this provider via phone number 7732131232. The mailing address for Edward Spencer Landreth is 4709 Golf Road, Skokie, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Spencer Landreth |
|---|---|
| Address | 4709 Golf Road, Skokie, Illinois |
| Phone Number | 7732131232 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1104866946 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2016-04-06 |
Provider Mailing Address Detail
| Address | 4709 Golf Road |
|---|---|
| City | Skokie |
| State | Illinois (IL) |
| Post Code | 600761252 |
| Phone Number | 7732131232 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006758 |
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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 |
|---|---|---|---|
| 1635205 | IL | BCBS IL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edward Spencer Landreth?
The Edward Spencer Landreth has been issued the NPI (National Provider Identifier) 1104866946 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Edward Spencer Landreth is geographically located?
The Edward Spencer Landreth is physically situated at the following location: 4709 Golf Road, Skokie, IL, 600761252.
What is Edward Spencer Landreth's area of expertise and its corresponding taxonomy classification?
The Edward Spencer Landreth's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Edward Spencer Landreth receive its 1104866946 assignment from the Centers for Medicare & Medicaid Services?
The Edward Spencer Landreth was assigned its 1104866946 on 2006-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Edward Spencer Landreth most recently updated?
The details pertaining to the Edward Spencer Landreth, including its address, specialty, and other relevant information, were last refreshed on 2016-04-06.