Sanford Lloyd Pederson in Greenwood - Health

Sanford Lloyd Pederson - NPI 1659589885

Sanford Lloyd Pederson is a Health in Greenwood, Indiana. Sanford Lloyd Pederson practices all healthcare services and medical treatments related to Health. The NPI Number for Sanford Lloyd Pederson is 1659589885. The last update date is 2020-03-19.

Sanford Lloyd Pederson's current location address is 494 S Emerson Ave, Greenwood, Indiana. You can contact this provider via phone number 3178893901 and fax number 3178893902. The mailing address for Sanford Lloyd Pederson is 494 S Emerson Ave, Greenwood, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Sanford Lloyd Pederson
Address 494 S Emerson Ave, Greenwood, Indiana
Phone Number 3178893901
Fax Number 3178893902
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1659589885
Provider Enumeration Date 2007-05-20
Last Updated Date 2020-03-19

Provider Mailing Address Detail

Address 494 S Emerson Ave
City Greenwood
State Indiana (IN)
Post Code 461431912
Phone Number 3178893901
Fax Number 3178893902

Provider's Primary Taxonomy Detail

Speciality Health
Taxonomy 103Th0004X
Licence No 20041487
Definition:
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinica

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
225420 MEDICATE PTAN
225420A MEDICARE LEGACY ID
200227370 IN --

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FAQs about Sanford Lloyd Pederson

What is the unique provider identifier assigned to Sanford Lloyd Pederson?

The Sanford Lloyd Pederson has been issued the NPI (National Provider Identifier) 1659589885 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 Sanford Lloyd Pederson's facilities are geographically located?

The facilities of Sanford Lloyd Pederson are physically situated at the following location: 494 S Emerson Ave, Greenwood, IN, 461431912.

What is Sanford Lloyd Pederson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sanford Lloyd Pederson is Health, and the taxonomy code that categorizes this field of expertise is 103Th0004X.

On what date did the Centers for Medicare & Medicaid Services assign the 1659589885 to Sanford Lloyd Pederson?

The Centers for Medicare & Medicaid Services assigned the 1659589885 to Sanford Lloyd Pederson on 2007-05-20.

When was the information pertaining to Sanford Lloyd Pederson most recently updated or revised?

The details related to Sanford Lloyd Pederson, including its address, specialty, and other relevant information, were last updated or revised on 2020-03-19.

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