Samuel Brian Mcintyre in Peoria - Health Service

Samuel Brian Mcintyre - NPI 1386608008

Samuel Brian Mcintyre is a Health Service in Peoria, Illinois. Samuel Brian Mcintyre practices all healthcare services and medical treatments related to Health Service. The NPI Number for Samuel Brian Mcintyre is 1386608008. The last update date is 2007-07-08.

Samuel Brian Mcintyre's current location address is 7309 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096929898 and fax number 3096929055. The mailing address for Samuel Brian Mcintyre is 7309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Brian Mcintyre
Address 7309 N Knoxville Ave, Peoria, Illinois
Phone Number 3096929898
Fax Number 3096929055
Sole Proprietor X
Credentials ED.D

NPI Number Detail

NPI Number 1386608008
Provider Enumeration Date 2006-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7309 N Knoxville Ave
City Peoria
State Illinois (IL)
Post Code 616142085
Phone Number 3096929898
Fax Number 3096929055

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

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FAQs about Samuel Brian Mcintyre

What is the unique 10-digit identification code issued to Samuel Brian Mcintyre by the Centers for Medicare & Medicaid Services?

The Samuel Brian Mcintyre has been assigned the NPI (National Provider Identifier) 1386608008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Samuel Brian Mcintyre's facilities are geographically located?

The facilities of Samuel Brian Mcintyre are physically situated at the following location: 7309 N Knoxville Ave, Peoria, IL, 616142085.

What is Samuel Brian Mcintyre's specialized field of practice, and what is the corresponding taxonomy classification code?

The Samuel Brian Mcintyre's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.

On what date did Samuel Brian Mcintyre receive its 1386608008 assignment from the Centers for Medicare & Medicaid Services?

The Samuel Brian Mcintyre was assigned its 1386608008 on 2006-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Samuel Brian Mcintyre, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

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

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