David A. Priddy in Galesburg - Rehabilitation

David A. Priddy - NPI 1669416749

David A. Priddy is a Rehabilitation in Galesburg, Illinois. David A. Priddy practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for David A. Priddy is 1669416749. The last update date is 2020-08-18.

David A. Priddy's current location address is 575 N Kellogg St Ste 4, Galesburg, Illinois. You can contact this provider via phone number 3093430800 and fax number 3093430802. The mailing address for David A. Priddy is 575 N Kellogg St Ste 4, Galesburg, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name David A. Priddy
Address 575 N Kellogg St Ste 4, Galesburg, Illinois
Phone Number 3093430800
Fax Number 3093430802
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1669416749
Provider Enumeration Date 2006-06-16
Last Updated Date 2020-08-18

Provider Mailing Address Detail

Address 575 N Kellogg St Ste 4
City Galesburg
State Illinois (IL)
Post Code 614017609
Phone Number 3093430800
Fax Number 3093430802

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 103Tr0400X
Licence No 071-003839
Definition:
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13154 IL HEALTH ALLIANCE ID

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FAQs about David A. Priddy

What is the unique 10-digit identifier code issued to David A. Priddy by the Centers for Medicare & Medicaid Services?

The David A. Priddy has been assigned the NPI (National Provider Identifier) 1669416749 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where David A. Priddy's facilities are geographically located?

The facilities of David A. Priddy are physically situated at the following location: 575 N Kellogg St Ste 4, Galesburg, IL, 614017609.

What is David A. Priddy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for David A. Priddy is Rehabilitation, and the taxonomy code that classifies this field of practice is 103Tr0400X.

On what date did the David A. Priddy receive its 1669416749 assignment from the Centers for Medicare & Medicaid Services?

The David A. Priddy was assigned its 1669416749 by the Centers for Medicare & Medicaid Services on 2006-06-16.

As of what date were the details related to David A. Priddy most recently updated or revised?

The information pertaining to David A. Priddy, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-18.

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