Lloyd Alan Dockham is a Clinical in Pontiac, Michigan. Lloyd Alan Dockham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lloyd Alan Dockham is 1104955178. The last update date is 2009-02-25.
Lloyd Alan Dockham's current location address is 114 Orchard Lake Rd, Pontiac, Michigan. You can contact this provider via phone number 2488587766 and fax number 2488587201. The mailing address for Lloyd Alan Dockham is 114 Orchard Lake Rd, Pontiac, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lloyd Alan Dockham |
|---|---|
| Address | 114 Orchard Lake Rd, Pontiac, Michigan |
| Phone Number | 2488587766 |
| Fax Number | 2488587201 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1104955178 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2009-02-25 |
Provider Mailing Address Detail
| Address | 114 Orchard Lake Rd |
|---|---|
| City | Pontiac |
| State | Michigan (MI) |
| Post Code | 483412244 |
| Phone Number | 2488587766 |
| Fax Number | 2488587201 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801087761 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1883825 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lloyd Alan Dockham by the Centers for Medicare & Medicaid Services?
The Lloyd Alan Dockham has been assigned the NPI (National Provider Identifier) 1104955178. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lloyd Alan Dockham located?
The Lloyd Alan Dockham is located at 114 Orchard Lake Rd, Pontiac, MI 483412244.
What is the Lloyd Alan Dockham's specialty and taxonomy code?
The Lloyd Alan Dockham's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104955178 to Lloyd Alan Dockham?
The Lloyd Alan Dockham received its 1104955178 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date was the information pertaining to Lloyd Alan Dockham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lloyd Alan Dockham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-02-25.
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