Mr Victor Thomas Needham Jr, MA,CRADC,NCC is a
Psychologist - Family based in Park Forest, Illinois. Mr Victor Thomas Needham Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
252 Main St, Park Forest, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 481-9570.
NPI number for Mr Victor Thomas Needham Jr is 1992821656 and his current mailing address is 105 Warwick St, Park Forest, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992821656.
Healthcare Provider's Profile
| Full Name | Mr Victor Thomas Needham Jr |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Family |
|---|
| Location | 252 Main St, Park Forest, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992821656
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Victor Thomas Needham Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992821656 | NPI | - | NPPES |
| A10420001A | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Victor Thomas Needham Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Victor Thomas Needham Jr, MA,CRADC,NCC
105 Warwick St,
Park Forest, IL 60466-1620
Ph: (708) 503-8870 | Mr Victor Thomas Needham Jr, MA,CRADC,NCC
252 Main St,
Park Forest, IL 60466-2098
Ph: (708) 481-9570 |
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