Chad E Tillbrook in Worcester - Forensic

Chad E Tillbrook - NPI 1275630345

Chad E Tillbrook is a Forensic in Worcester, Massachusetts. Chad E Tillbrook practices all healthcare services and medical treatments related to Forensic. The NPI Number for Chad E Tillbrook is 1275630345. The last update date is 2007-07-08.

Chad E Tillbrook's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5088566580. The mailing address for Chad E Tillbrook is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Chad E Tillbrook
Address 55 Lake Ave N, Worcester, Massachusetts
Phone Number 5088566580
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1275630345
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 55 Lake Ave N
City Worcester
State Massachusetts (MA)
Post Code 16550002
Phone Number 5088566580
Fax Number

Provider's Primary Taxonomy Detail

Speciality Forensic
Taxonomy 103Tf0200X
Licence No 8097
Definition:
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

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FAQs about Chad E Tillbrook

What is the Chad E Tillbrook's unique identification number?

The Chad E Tillbrook has been assigned the NPI (National Provider Identifier) Number 1275630345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Chad E Tillbrook?

The Chad E Tillbrook is physically situated at 55 Lake Ave N, in the city of Worcester, state of MA, with the postal code 16550002.

What is Chad E Tillbrook's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Chad E Tillbrook is Forensic, and the corresponding taxonomy classification code for this specialized field is 103Tf0200X.

When did Chad E Tillbrook receive its 1275630345 assignment?

The Chad E Tillbrook was assigned its 1275630345 on 2006-09-20, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Chad E Tillbrook, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Chad E Tillbrook, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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