Glen P Aylward in Springfield - Clinical Child & Adolescent
Glen P Aylward - NPI 1649252495
Glen P Aylward is a Clinical Child & Adolescent in Springfield, Illinois. Glen P Aylward practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Glen P Aylward is 1649252495. The last update date is 2018-09-26.
Glen P Aylward's current location address is Po Box 19658, Springfield, Illinois. You can contact this provider via phone number 2175452618 and fax number 2175455834. The mailing address for Glen P Aylward is Po Box 19658, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen P Aylward |
|---|---|
| Address | Po Box 19658, Springfield, Illinois |
| Phone Number | 2175452618 |
| Fax Number | 2175455834 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1649252495 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2018-09-26 |
Provider Mailing Address Detail
| Address | Po Box 19658 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949658 |
| Phone Number | 2175452618 |
| Fax Number | 2175455834 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 071-002533 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the Glen P Aylward's unique identification number?
The Glen P Aylward has been assigned the NPI (National Provider Identifier) Number 1649252495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Glen P Aylward?
The Glen P Aylward is situated at Po Box 19658, in the city of Springfield, state of IL, with the zip code 627949658.
What is Glen P Aylward's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glen P Aylward's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
When did Glen P Aylward receive its 1649252495 assignment?
The Glen P Aylward was assigned its 1649252495 on 2005-11-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Glen P Aylward last refreshed?
The information related to the Glen P Aylward, including its address, specialty, and other relevant details, was last updated on 2018-09-26.
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