Signature Consulting And Psychological Services, Inc. in St Charles - Clinical

Signature Consulting And Psychological Services, Inc. - NPI 1790960763

Signature Consulting And Psychological Services, Inc. is a Clinical in St Charles, Illinois. Signature Consulting And Psychological Services, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Signature Consulting And Psychological Services, Inc. is 1790960763. The last update date is 2008-01-08.

Signature Consulting And Psychological Services, Inc.'s current location address is 2210 Dean St, St Charles, Illinois. You can contact this provider via phone number 6303771695 and fax number 6305842490. The mailing address for Signature Consulting And Psychological Services, Inc. is 2210 Dean St, St Charles, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Signature Consulting And Psychological Services, Inc.
Address 2210 Dean St, St Charles, Illinois
Phone Number 6303771695
Fax Number 6305842490
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL P
Authorized Official Name Niekamp Alan David
Credentials PSYD
Telephone Number 6303771695

NPI Number Detail

NPI Number 1790960763
Provider Enumeration Date 2008-01-08
Last Updated Date 2008-01-08

Provider Mailing Address Detail

Address 2210 Dean St
City St Charles
State Illinois (IL)
Post Code 601751066
Phone Number 6303771695
Fax Number 6305842490

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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4532249 IL BCBS PROVIDER

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FAQs about Signature Consulting And Psychological Services, Inc.

What is the unique 10-digit identification code assigned to Signature Consulting And Psychological Services, Inc. by the Centers for Medicare & Medicaid Services?

The Signature Consulting And Psychological Services, Inc. has been issued the NPI (National Provider Identifier) 1790960763, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Signature Consulting And Psychological Services, Inc. is physically located?

The Signature Consulting And Psychological Services, Inc. is situated at the following address: 2210 Dean St, St Charles, IL 601751066.

What is Signature Consulting And Psychological Services, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Signature Consulting And Psychological Services, Inc.'s specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790960763 to Signature Consulting And Psychological Services, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1790960763 to Signature Consulting And Psychological Services, Inc. on 2008-01-08.

As of what date was the information pertaining to Signature Consulting And Psychological Services, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Signature Consulting And Psychological Services, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-08.

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