Jeanine R Standard in Peoria - Psychologist
Jeanine R Standard - NPI 1790888311
Jeanine R Standard is a Psychologist in Peoria, Illinois. Jeanine R Standard practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jeanine R Standard is 1790888311. The last update date is 2009-12-02.
Jeanine R Standard's current location address is 6615 N Big Hollow Rd, Peoria, Illinois. You can contact this provider via phone number 3096926622 and fax number 3096926952. The mailing address for Jeanine R Standard is 6615 N Big Hollow Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanine R Standard |
|---|---|
| Address | 6615 N Big Hollow Rd, Peoria, Illinois |
| Phone Number | 3096926622 |
| Fax Number | 3096926952 |
| Sole Proprietor | N |
| Credentials | PH D LCPC |
NPI Number Detail
| NPI Number | 1790888311 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2009-12-02 |
Provider Mailing Address Detail
| Address | 6615 N Big Hollow Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616152451 |
| Phone Number | 3096926622 |
| Fax Number | 3096926952 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeanine R Standard by the Centers for Medicare & Medicaid Services?
The Jeanine R Standard has been issued the NPI (National Provider Identifier) 1790888311 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jeanine R Standard located?
The Jeanine R Standard is located at 6615 N Big Hollow Rd, Peoria, IL 616152451.
What is Jeanine R Standard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeanine R Standard's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790888311 to Jeanine R Standard?
The Centers for Medicare & Medicaid Services assigned the 1790888311 to Jeanine R Standard on 2006-09-07.
When was the information pertaining to Jeanine R Standard most recently updated or revised?
The details related to Jeanine R Standard, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-02.
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