Legacy Clinical Consultants, Llc in Plainfield - Adult Development & Aging
Legacy Clinical Consultants, Llc - NPI 1124092911
Legacy Clinical Consultants, Llc is a Adult Development & Aging in Plainfield, Illinois. Legacy Clinical Consultants, Llc practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Legacy Clinical Consultants, Llc is 1124092911. The last update date is 2020-08-22.
Legacy Clinical Consultants, Llc's current location address is 13300 S Route 59, Plainfield, Illinois. You can contact this provider via phone number 8155773666 and fax number 8155772785. The mailing address for Legacy Clinical Consultants, Llc is 13300 S Route 59, Plainfield, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Legacy Clinical Consultants, Llc |
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Address | 13300 S Route 59, Plainfield, Illinois |
Phone Number | 8155773666 |
Fax Number | 8155772785 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Van Meter B Jeffrey |
Credentials | PSY.D. |
Telephone Number | 8155773666 |
NPI Number Detail
NPI Number | 1124092911 |
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Provider Enumeration Date | 2006-02-16 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 13300 S Route 59 |
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City | Plainfield |
State | Illinois (IL) |
Post Code | 605859847 |
Phone Number | 8155773666 |
Fax Number | 8155772785 |
Provider's Primary Taxonomy Detail
Speciality | Adult Development & Aging |
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Taxonomy | 103Ta0700X |
Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9932120 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Legacy Clinical Consultants, Llc?
The Legacy Clinical Consultants, Llc has been issued the NPI (National Provider Identifier) 1124092911 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Legacy Clinical Consultants, Llc's facilities are geographically located?
The facilities of Legacy Clinical Consultants, Llc are physically situated at the following location: 13300 S Route 59, Plainfield, IL, 605859847.
What is Legacy Clinical Consultants, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Legacy Clinical Consultants, Llc's specialized field of practice is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0700X.
On what date did the Legacy Clinical Consultants, Llc receive its 1124092911 assignment from the Centers for Medicare & Medicaid Services?
The Legacy Clinical Consultants, Llc was assigned its 1124092911 by the Centers for Medicare & Medicaid Services on 2006-02-16.
When was the information regarding Legacy Clinical Consultants, Llc most recently updated?
The details pertaining to the Legacy Clinical Consultants, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.