Lori Dudley is a Clinical in Roanoke, Virginia. Lori Dudley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lori Dudley is 1477529972. The last update date is 2021-11-02.
Lori Dudley's current location address is 902 S Jefferson St, Roanoke, Virginia. You can contact this provider via phone number 5408530900 and fax number 5408530511. The mailing address for Lori Dudley is 902 S Jefferson St, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Dudley |
|---|---|
| Address | 902 S Jefferson St, Roanoke, Virginia |
| Phone Number | 5408530900 |
| Fax Number | 5408530511 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1477529972 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2021-11-02 |
Provider Mailing Address Detail
| Address | 902 S Jefferson St |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240164404 |
| Phone Number | 5408530900 |
| Fax Number | 5408530511 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 0810-003042 |
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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 |
|---|---|---|---|
| 10047668 | VA | -- | |
| 10194644 | VA | -- | |
| 10194679 | VA | -- | |
| 7712910 | VA | -- | |
| 10194652 | VA | -- | |
| 10077656 | VA | -- | |
| 10077672 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lori Dudley by the Centers for Medicare & Medicaid Services?
The Lori Dudley has been assigned the NPI (National Provider Identifier) 1477529972 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Lori Dudley?
The Lori Dudley is situated at 902 S Jefferson St, in the city of Roanoke, state of VA, with the zip code 240164404.
What is the Lori Dudley's area of specialization and corresponding taxonomy classification?
The Lori Dudley's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did Lori Dudley receive its 1477529972 assignment?
The Lori Dudley was assigned its 1477529972 on 2006-02-24, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lori Dudley most recently updated?
The details pertaining to the Lori Dudley, including its address, specialty, and other relevant information, were last refreshed on 2021-11-02.
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