Kyle J Cushing is a Clinical in Rockford, Illinois. Kyle J Cushing practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kyle J Cushing is 1346259157. The last update date is 2019-03-27.
Kyle J Cushing's current location address is 2823 Glenwood Ave, Rockford, Illinois. You can contact this provider via phone number 8159685342 and fax number 8159684656. The mailing address for Kyle J Cushing is 2823 Glenwood Ave, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kyle J Cushing |
---|---|
Address | 2823 Glenwood Ave, Rockford, Illinois |
Phone Number | 8159685342 |
Fax Number | 8159684656 |
Sole Proprietor | Y |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1346259157 |
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Provider Enumeration Date | 2006-08-08 |
Last Updated Date | 2019-03-27 |
Provider Mailing Address Detail
Address | 2823 Glenwood Ave |
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City | Rockford |
State | Illinois (IL) |
Post Code | 611013542 |
Phone Number | 8159685342 |
Fax Number | 8159684656 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 071-006072 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10126129 | IL | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kyle J Cushing?
The Kyle J Cushing has been issued the NPI (National Provider Identifier) 1346259157 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 Kyle J Cushing's facilities are geographically located?
The facilities of Kyle J Cushing are physically situated at the following location: 2823 Glenwood Ave, Rockford, IL, 611013542.
What is the Kyle J Cushing's area of specialization and corresponding taxonomy classification?
The Kyle J Cushing's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1346259157 to Kyle J Cushing?
The Centers for Medicare & Medicaid Services assigned the 1346259157 to Kyle J Cushing on 2006-08-08.
When was the information related to Kyle J Cushing most recently updated or refreshed?
The details pertaining to the Kyle J Cushing, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-03-27.
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