William Edward Moredock in Springfield - Clinical
William Edward Moredock - NPI 1720167026
William Edward Moredock is a Clinical in Springfield, Illinois. William Edward Moredock practices all healthcare services and medical treatments related to Clinical. The NPI Number for William Edward Moredock is 1720167026. The last update date is 2013-07-01.
William Edward Moredock's current location address is 4100 Chandlerwood, Springfield, Illinois. You can contact this provider via phone number 2177933612. The mailing address for William Edward Moredock is 4100 Chandlerwood, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Edward Moredock |
|---|---|
| Address | 4100 Chandlerwood, Springfield, Illinois |
| Phone Number | 2177933612 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1720167026 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2013-07-01 |
Provider Mailing Address Detail
| Address | 4100 Chandlerwood |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627116081 |
| Phone Number | 2177933612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71.003906 |
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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 |
|---|---|---|---|
| 8406629 | IL | BCBSIL | |
| 174554000 | IL | MAGELLAN | |
| 11443979 | IL | CAQH | |
| 255240 | IL | HEALTHLINK |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to William Edward Moredock by the Centers for Medicare & Medicaid Services?
The William Edward Moredock has been issued the NPI (National Provider Identifier) 1720167026, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where William Edward Moredock's facilities are geographically located?
The facilities of William Edward Moredock are physically situated at the following location: 4100 Chandlerwood, Springfield, IL, 627116081.
What is the William Edward Moredock's specialty and taxonomy code?
The William Edward Moredock's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the William Edward Moredock's 1720167026 issued?
The William Edward Moredock's 1720167026 was issued on 2006-11-06.
When was the William Edward Moredock's information last updated?
The William Edward Moredock's information was last updated on 2013-07-01.
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