Neil Allen Jepson in Bloomington - Health Service
Neil Allen Jepson - NPI 1689687709
Neil Allen Jepson is a Health Service in Bloomington, Illinois. Neil Allen Jepson practices all healthcare services and medical treatments related to Health Service. The NPI Number for Neil Allen Jepson is 1689687709. The last update date is 2023-04-19.
Neil Allen Jepson's current location address is 1111 Trinity Ln Ste 111, Bloomington, Illinois. You can contact this provider via phone number 3096636461. The mailing address for Neil Allen Jepson is 1111 Trinity Ln Ste 111, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Neil Allen Jepson |
|---|---|
| Address | 1111 Trinity Ln Ste 111, Bloomington, Illinois |
| Phone Number | 3096636461 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1689687709 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2023-04-19 |
Provider Mailing Address Detail
| Address | 1111 Trinity Ln Ste 111 |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617048112 |
| Phone Number | 3096636461 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 470000715 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1010983 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Neil Allen Jepson by the Centers for Medicare & Medicaid Services?
The Neil Allen Jepson has been assigned the NPI (National Provider Identifier) 1689687709 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Neil Allen Jepson?
The Neil Allen Jepson is situated at 1111 Trinity Ln Ste 111, in the city of Bloomington, state of IL, with the zip code 617048112.
What is Neil Allen Jepson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Neil Allen Jepson is Health Service, and the taxonomy classification code that categorizes this area of expertise is 103Th0100X.
When did the Neil Allen Jepson receive its 1689687709?
The Neil Allen Jepson was issued its 1689687709 on 2006-08-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Neil Allen Jepson most recently updated?
The details pertaining to the Neil Allen Jepson, including its address, specialty, and other relevant information, were last refreshed on 2023-04-19.
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