Addison Edward Gradel in Lubbock - School
Addison Edward Gradel - NPI 1194739706
Addison Edward Gradel is a School in Lubbock, Texas. Addison Edward Gradel practices all healthcare services and medical treatments related to School. The NPI Number for Addison Edward Gradel is 1194739706. The last update date is 2023-03-01.
Addison Edward Gradel's current location address is 5701 Avenue P, Lubbock, Texas. You can contact this provider via phone number 8067410713 and fax number 8067410797. The mailing address for Addison Edward Gradel is 5701 Avenue P, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Addison Edward Gradel |
|---|---|
| Address | 5701 Avenue P, Lubbock, Texas |
| Phone Number | 8067410713 |
| Fax Number | 8067410797 |
| Sole Proprietor | Y |
| Credentials | ED.D |
NPI Number Detail
| NPI Number | 1194739706 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2023-03-01 |
Provider Mailing Address Detail
| Address | 5701 Avenue P |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794123674 |
| Phone Number | 8067410713 |
| Fax Number | 8067410797 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 6482 |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 98566502 | TX | -- | |
| G93C | TX | BCBS | |
| 113884100 | TX | FIRSTCARE |
Post Comment/ Review Below
What is the Addison Edward Gradel's unique identification number?
The Addison Edward Gradel has been assigned the NPI (National Provider Identifier) Number 1194739706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Addison Edward Gradel?
The Addison Edward Gradel is situated at 5701 Avenue P, in the city of Lubbock, state of TX, with the zip code 794123674.
What is Addison Edward Gradel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Addison Edward Gradel's specialized field of practice is School, and the corresponding taxonomy code that categorizes this area of specialization is 103Ts0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194739706 to Addison Edward Gradel?
The Addison Edward Gradel received its 1194739706 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date were the details related to Addison Edward Gradel most recently updated or revised?
The information pertaining to Addison Edward Gradel, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-01.