Rachell Nichols Anderso in Springfield - Clinical
Rachell Nichols Anderso - NPI 1396772075
Rachell Nichols Anderso is a Clinical in Springfield, Illinois. Rachell Nichols Anderso practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rachell Nichols Anderso is 1396772075. The last update date is 2007-07-08.
Rachell Nichols Anderso's current location address is 2325 W White Oaks Dr, Springfield, Illinois. You can contact this provider via phone number 2177933949 and fax number 2177933995. The mailing address for Rachell Nichols Anderso is 2325 W White Oaks Dr, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rachell Nichols Anderso |
|---|---|
| Address | 2325 W White Oaks Dr, Springfield, Illinois |
| Phone Number | 2177933949 |
| Fax Number | 2177933995 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1396772075 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2325 W White Oaks Dr |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627047419 |
| Phone Number | 2177933949 |
| Fax Number | 2177933995 |
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 assigned to Rachell Nichols Anderso by the Centers for Medicare & Medicaid Services?
The Rachell Nichols Anderso has been issued the NPI (National Provider Identifier) 1396772075, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Rachell Nichols Anderso located?
The Rachell Nichols Anderso is located at 2325 W White Oaks Dr, Springfield, IL 627047419.
What is Rachell Nichols Anderso's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rachell Nichols Anderso is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Rachell Nichols Anderso receive its 1396772075 assignment from the Centers for Medicare & Medicaid Services?
The Rachell Nichols Anderso was assigned its 1396772075 on 2006-06-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Rachell Nichols Anderso last refreshed?
The information related to the Rachell Nichols Anderso, including its address, specialty, and other relevant details, was last updated on 2007-07-08.