| |
1000 Health Center Dr Mattoon IL 61938-9253 | |
(217) 258-2389 | |
Not Available |
Full Name | |
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Speciality | Psychologist |
Location | 1000 Health Center Dr, Mattoon, Illinois |
Authorized Official Name and Position | Dennis Pluard (CFO) |
Authorized Official Contact | 2172582513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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500 Health Center Dr Ste 406 Mattoon IL 61938-9258 Ph: () - | 1000 Health Center Dr Mattoon IL 61938-9253 Ph: (217) 258-2389 |
NPI Number | 1336350313 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1336350313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
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