Owen W Drudge in Colchester - Clinical Neuropsychologist
Owen W Drudge - NPI 1669486080
Owen W Drudge is a Clinical Neuropsychologist in Colchester, Vermont. Owen W Drudge practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Owen W Drudge is 1669486080. The last update date is 2007-07-08.
Owen W Drudge's current location address is 790 College Pkwy, Colchester, Vermont. You can contact this provider via phone number 8028474378 and fax number 8028478899. The mailing address for Owen W Drudge is 790 College Pkwy, Colchester, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Owen W Drudge |
|---|---|
| Address | 790 College Pkwy, Colchester, Vermont |
| Phone Number | 8028474378 |
| Fax Number | 8028478899 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1669486080 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 790 College Pkwy |
|---|---|
| City | Colchester |
| State | Vermont (VT) |
| Post Code | 54463007 |
| Phone Number | 8028474378 |
| Fax Number | 8028478899 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 048-0000672 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OVN1456 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Owen W Drudge by the Centers for Medicare & Medicaid Services?
The Owen W Drudge has been assigned the NPI (National Provider Identifier) 1669486080 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Owen W Drudge's physical address?
The Owen W Drudge is physically located at 790 College Pkwy, in the city of Colchester, VT, with the postal code 54463007.
What is Owen W Drudge's specialized field of practice, and what is the corresponding taxonomy classification code?
The Owen W Drudge's area of specialization is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this field of practice is 103G00000X.
On what date did the Owen W Drudge receive its 1669486080 assignment from the Centers for Medicare & Medicaid Services?
The Owen W Drudge was assigned its 1669486080 by the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date was the information pertaining to Owen W Drudge, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Owen W Drudge, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1063415297
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