Rhoda Jean Gottfried in Bloomington - Child & Adolescent Psychiatry
Rhoda Jean Gottfried - NPI 1922212638
Rhoda Jean Gottfried is a Child & Adolescent Psychiatry in Bloomington, Illinois. Rhoda Jean Gottfried practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Rhoda Jean Gottfried is 1922212638. The last update date is 2016-10-19.
Rhoda Jean Gottfried's current location address is 3024 E Empire St, Bloomington, Illinois. You can contact this provider via phone number 3095567800 and fax number 3095567804. The mailing address for Rhoda Jean Gottfried is 3024 E Empire St, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rhoda Jean Gottfried |
|---|---|
| Address | 3024 E Empire St, Bloomington, Illinois |
| Phone Number | 3095567800 |
| Fax Number | 3095567804 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922212638 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2016-10-19 |
Provider Mailing Address Detail
| Address | 3024 E Empire St |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617045402 |
| Phone Number | 3095567800 |
| Fax Number | 3095567804 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 36.131825 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36482700 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Rhoda Jean Gottfried by the Centers for Medicare & Medicaid Services?
The Rhoda Jean Gottfried has been issued the NPI (National Provider Identifier) 1922212638 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Rhoda Jean Gottfried is physically located?
The Rhoda Jean Gottfried is situated at the following address: 3024 E Empire St, Bloomington, IL 617045402.
What is Rhoda Jean Gottfried's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rhoda Jean Gottfried is Child & Adolescent Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0804X.
When was the Rhoda Jean Gottfried's 1922212638 issued?
The Rhoda Jean Gottfried's 1922212638 was issued on 2007-05-10.
When was the Rhoda Jean Gottfried's information last updated?
The Rhoda Jean Gottfried's information was last updated on 2016-10-19.
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