Jessica Dannenmaier in Rockford - Clinical

Jessica Dannenmaier - NPI 1831122100

Jessica Dannenmaier is a Clinical in Rockford, Illinois. Jessica Dannenmaier practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Dannenmaier is 1831122100. The last update date is 2007-07-08.

Jessica Dannenmaier's current location address is 6072 Brynwood Dr, Rockford, Illinois. You can contact this provider via phone number 8159793211 and fax number 8153982116. The mailing address for Jessica Dannenmaier is 6072 Brynwood Dr, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Dannenmaier
Address 6072 Brynwood Dr, Rockford, Illinois
Phone Number 8159793211
Fax Number 8153982116
Sole Proprietor Y
Credentials PSY,D.

NPI Number Detail

NPI Number 1831122100
Provider Enumeration Date 2006-07-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6072 Brynwood Dr
City Rockford
State Illinois (IL)
Post Code 611145829
Phone Number 8159793211
Fax Number 8153982116

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
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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FAQs about Jessica Dannenmaier

What is the Jessica Dannenmaier's 1831122100?

The Jessica Dannenmaier's NPI (National Provider Identifier) Number is 1831122100. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jessica Dannenmaier's facilities are situated?

The facilities of Jessica Dannenmaier are physically located at the following address: 6072 Brynwood Dr, Rockford, IL, 611145829.

What is Jessica Dannenmaier's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jessica Dannenmaier is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1831122100 to Jessica Dannenmaier?

The Jessica Dannenmaier received its 1831122100 assignment from the Centers for Medicare & Medicaid Services on 2006-07-09.

As of what date were the details pertaining to Jessica Dannenmaier last refreshed?

The information related to the Jessica Dannenmaier, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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