Carroll A Cradock in Chicago - Clinical Child & Adolescent

Carroll A Cradock - NPI 1316085954

Carroll A Cradock is a Clinical Child & Adolescent in Chicago, Illinois. Carroll A Cradock practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Carroll A Cradock is 1316085954. The last update date is 2007-07-08.

Carroll A Cradock's current location address is 411 S Sangamon St, Chicago, Illinois. You can contact this provider via phone number 3122437441. The mailing address for Carroll A Cradock is 411 S Sangamon St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Carroll A Cradock
Address 411 S Sangamon St, Chicago, Illinois
Phone Number 3122437441
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1316085954
Provider Enumeration Date 2007-02-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 411 S Sangamon St
City Chicago
State Illinois (IL)
Post Code 606073547
Phone Number 3122437441
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Carroll A Cradock

What is the Carroll A Cradock's 1316085954?

The Carroll A Cradock's NPI (National Provider Identifier) Number is 1316085954. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Carroll A Cradock is located?

The Carroll A Cradock is situated at the following address: 411 S Sangamon St, Chicago, IL, 606073547.

What is Carroll A Cradock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Carroll A Cradock is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.

When was the Carroll A Cradock's 1316085954 issued?

The Carroll A Cradock's 1316085954 was issued on 2007-02-04.

When was the information related to Carroll A Cradock most recently updated or refreshed?

The details pertaining to the Carroll A Cradock, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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