| Thomas B. Dudgeon, Ph.d., Pc | |
|
6066 Strathmoor Dr Suite 3c Rockford IL 61107-6633 | |
| (815) 399-9303 | |
| (815) 399-9306 |
| Full Name | Thomas B. Dudgeon, Ph.d., Pc |
|---|---|
| Speciality | Psychologist |
| Location | 6066 Strathmoor Dr, Rockford, Illinois |
| Authorized Official Name and Position | Thomas B. Dudgeon (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8153999303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas B. Dudgeon, Ph.d., Pc 6066 Strathmoor Dr Suite 3c Rockford IL 61107-6633 Ph: (815) 399-9303 | Thomas B. Dudgeon, Ph.d., Pc 6066 Strathmoor Dr Suite 3c Rockford IL 61107-6633 Ph: (815) 399-9303 |
| NPI Number | 1528243086 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528243086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Illinois) | Primary |
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