Bill J Duke in Moorhead - Clinical Child & Adolescent
Bill J Duke - NPI 1710196522
Bill J Duke is a Clinical Child & Adolescent in Moorhead, Minnesota. Bill J Duke practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Bill J Duke is 1710196522. The last update date is 2015-11-24.
Bill J Duke's current location address is 420 Center Ave Ste 7, Moorhead, Minnesota. You can contact this provider via phone number 7012419281 and fax number 7012988321. The mailing address for Bill J Duke is 420 Center Ave Ste 7, Moorhead, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bill J Duke |
|---|---|
| Address | 420 Center Ave Ste 7, Moorhead, Minnesota |
| Phone Number | 7012419281 |
| Fax Number | 7012988321 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710196522 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2015-11-24 |
Provider Mailing Address Detail
| Address | 420 Center Ave Ste 7 |
|---|---|
| City | Moorhead |
| State | Minnesota (MN) |
| Post Code | 565601962 |
| Phone Number | 7012419281 |
| Fax Number | 7012988321 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | LP1881 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1455056 | ND | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bill J Duke by the Centers for Medicare & Medicaid Services?
The Bill J Duke has been issued the NPI (National Provider Identifier) 1710196522. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bill J Duke?
The Bill J Duke is physically situated at 420 Center Ave Ste 7, in the city of Moorhead, state of MN, with the postal code 565601962.
What is the Bill J Duke's area of specialization and corresponding taxonomy classification?
The Bill J Duke's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1710196522 to Bill J Duke?
The Centers for Medicare & Medicaid Services assigned the 1710196522 to Bill J Duke on 2007-05-21.
When was the information related to Bill J Duke most recently updated or refreshed?
The details pertaining to the Bill J Duke, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-11-24.
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