Douglas Don Streich in South Bend - Clinical
Douglas Don Streich - NPI 1326015660
Douglas Don Streich is a Clinical in South Bend, Indiana. Douglas Don Streich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Douglas Don Streich is 1326015660. The last update date is 2010-10-28.
Douglas Don Streich's current location address is 105 East Jefferson Blvd., South Bend, Indiana. You can contact this provider via phone number 5742324453 and fax number 5742327718. The mailing address for Douglas Don Streich is 105 East Jefferson Blvd., South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Don Streich |
|---|---|
| Address | 105 East Jefferson Blvd., South Bend, Indiana |
| Phone Number | 5742324453 |
| Fax Number | 5742327718 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1326015660 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2010-10-28 |
Provider Mailing Address Detail
| Address | 105 East Jefferson Blvd. |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466011914 |
| Phone Number | 5742324453 |
| Fax Number | 5742327718 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20040374 |
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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 |
|---|---|---|---|
| 200008780A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Douglas Don Streich by the Centers for Medicare & Medicaid Services?
The Douglas Don Streich has been issued the NPI (National Provider Identifier) 1326015660, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Douglas Don Streich is geographically located?
The Douglas Don Streich is physically situated at the following location: 105 East Jefferson Blvd., South Bend, IN, 466011914.
What is Douglas Don Streich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas Don Streich'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 issue the 1326015660 to Douglas Don Streich?
The Douglas Don Streich received its 1326015660 assignment from the Centers for Medicare & Medicaid Services on 2006-03-07.
When was the Douglas Don Streich's information last updated?
The Douglas Don Streich's information was last updated on 2010-10-28.