Thomas B. Dudgeon, Ph.D., Pc in Rockford - Psychologist
Thomas B. Dudgeon, Ph.D., Pc - NPI 1528243086
Thomas B. Dudgeon, Ph.D., Pc is a Psychologist in Rockford, Illinois. Thomas B. Dudgeon, Ph.D., Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Thomas B. Dudgeon, Ph.D., Pc is 1528243086. The last update date is 2008-01-03.
Thomas B. Dudgeon, Ph.D., Pc's current location address is 6066 Strathmoor Dr, Rockford, Illinois. You can contact this provider via phone number 8153999303 and fax number 8153999306. The mailing address for Thomas B. Dudgeon, Ph.D., Pc is 6066 Strathmoor Dr, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thomas B. Dudgeon, Ph.D., Pc |
|---|---|
| Address | 6066 Strathmoor Dr, Rockford, Illinois |
| Phone Number | 8153999303 |
| Fax Number | 8153999306 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Dudgeon B. Thomas |
| Credentials | PH.D. |
| Telephone Number | 8153999303 |
NPI Number Detail
| NPI Number | 1528243086 |
|---|---|
| Provider Enumeration Date | 2008-01-03 |
| Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
| Address | 6066 Strathmoor Dr |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611076633 |
| Phone Number | 8153999303 |
| Fax Number | 8153999306 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
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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What is the Thomas B. Dudgeon, Ph.D., Pc's unique identification number?
The Thomas B. Dudgeon, Ph.D., Pc has been assigned the NPI (National Provider Identifier) Number 1528243086 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 Thomas B. Dudgeon, Ph.D., Pc?
The Thomas B. Dudgeon, Ph.D., Pc is situated at 6066 Strathmoor Dr, in the city of Rockford, state of IL, with the zip code 611076633.
What is Thomas B. Dudgeon, Ph.D., Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas B. Dudgeon, Ph.D., Pc is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528243086 to Thomas B. Dudgeon, Ph.D., Pc?
The Centers for Medicare & Medicaid Services originally issued the 1528243086 to Thomas B. Dudgeon, Ph.D., Pc on 2008-01-03.
When was the Thomas B. Dudgeon, Ph.D., Pc's information last updated?
The Thomas B. Dudgeon, Ph.D., Pc's information was last updated on 2008-01-03.
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