Frederick Wright Mcnelly in Rockford - Clinical
Frederick Wright Mcnelly - NPI 1619922572
Frederick Wright Mcnelly is a Clinical in Rockford, Illinois. Frederick Wright Mcnelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Frederick Wright Mcnelly is 1619922572. The last update date is 2007-07-08.
Frederick Wright Mcnelly's current location address is 972 N Main St, Rockford, Illinois. You can contact this provider via phone number 8159635095. The mailing address for Frederick Wright Mcnelly is 972 N Main St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick Wright Mcnelly |
|---|---|
| Address | 972 N Main St, Rockford, Illinois |
| Phone Number | 8159635095 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1619922572 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 972 N Main St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611039652 |
| Phone Number | 8159635095 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | IL711770 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22039 | NATIONAL REGISTER | ||
| 202 | ST PROV PSYCH BOARDS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Frederick Wright Mcnelly?
The Frederick Wright Mcnelly has been issued the NPI (National Provider Identifier) 1619922572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Frederick Wright Mcnelly?
The Frederick Wright Mcnelly is situated at 972 N Main St, in the city of Rockford, state of IL, with the zip code 611039652.
What is Frederick Wright Mcnelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Frederick Wright Mcnelly's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did Frederick Wright Mcnelly receive its 1619922572 assignment?
The Frederick Wright Mcnelly was assigned its 1619922572 on 2006-05-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Frederick Wright Mcnelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Frederick Wright Mcnelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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