Daniel Lee Fudge in Lincoln - Cognitive & Behavioral
Daniel Lee Fudge - NPI 1023139227
Daniel Lee Fudge is a Cognitive & Behavioral in Lincoln, Nebraska. Daniel Lee Fudge practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Daniel Lee Fudge is 1023139227. The last update date is 2015-07-08.
Daniel Lee Fudge's current location address is 4706 S 48th St, Lincoln, Nebraska. You can contact this provider via phone number 4024899792 and fax number 4024899793. The mailing address for Daniel Lee Fudge is 4706 S 48th St, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Lee Fudge |
|---|---|
| Address | 4706 S 48th St, Lincoln, Nebraska |
| Phone Number | 4024899792 |
| Fax Number | 4024899793 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023139227 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2015-07-08 |
Provider Mailing Address Detail
| Address | 4706 S 48th St |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685161276 |
| Phone Number | 4024899792 |
| Fax Number | 4024899793 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 734 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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What is the unique 10-digit identification code issued to Daniel Lee Fudge by the Centers for Medicare & Medicaid Services?
The Daniel Lee Fudge has been assigned the NPI (National Provider Identifier) 1023139227 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Daniel Lee Fudge located?
The Daniel Lee Fudge is located at 4706 S 48Th St, Lincoln, NE 685161276.
What is the Daniel Lee Fudge's specialty and taxonomy code?
The Daniel Lee Fudge's specialty is Cognitive & Behavioral, and the corresponding taxonomy code is 103Tb0200X.
On what date was the 1023139227 assigned to Daniel Lee Fudge?
The Daniel Lee Fudge was issued its 1023139227 on 2007-04-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Daniel Lee Fudge most recently updated?
The details pertaining to the Daniel Lee Fudge, including its address, specialty, and other relevant information, were last refreshed on 2015-07-08.